Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.66 / $522.00 / $2,747.00	Facility		$206.66	$522.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.40 / $315.74 / $490.88	Professional		$215.40	$315.74	$490.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.66 / $201.66 / $382.30	Professional		$163.66	$201.66	$382.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.94 / $323.93 / $373.67	Facility		$228.94	$323.93	$373.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $326.25 / $520.61	Professional		$254.52	$326.25	$520.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $514.01	Facility		$425.74	$425.74	$514.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.64 / $417.99 / $737.75	Professional		$276.64	$417.99	$737.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.04 / $379.34	Professional		$32.34	$126.04	$379.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $336.58 / $449.38 / $723.23	Professional		$336.58	$449.38	$723.23