Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.59 / $652.57 / $2,747.00	Facility		$356.59	$652.57	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.99 / $413.81 / $652.57	Professional		$363.99	$413.81	$652.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,769.00	Facility		$1,643.00	$3,498.00	$8,769.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.86 / $365.04 / $642.51	Professional		$296.86	$365.04	$642.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $393.62 / $556.61 / $642.09	Facility		$393.62	$556.61	$642.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.58 / $556.61 / $795.16	Professional		$397.58	$556.61	$795.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $487.10 / $642.55	Facility		$487.10	$487.10	$642.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.57 / $641.54 / $926.83	Professional		$422.57	$641.54	$926.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $516.85	Professional		$32.34	$32.34	$516.85
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.84 / $600.80 / $884.98	Professional		$425.84	$600.80	$884.98