Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.98 / $529.21 / $2,747.00	Facility		$218.98	$529.21	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.78 / $328.06 / $427.11	Professional		$223.78	$328.06	$427.11
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 $160.53 / $213.15 / $399.40	Professional		$160.53	$213.15	$399.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $242.22 / $341.43 / $393.87	Facility		$242.22	$341.43	$393.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.27 / $345.86 / $548.73	Professional		$268.27	$345.86	$548.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.74 / $448.74 / $521.10	Facility		$448.74	$448.74	$521.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.79 / $434.46 / $765.69	Professional		$276.79	$434.46	$765.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $126.38 / $392.15	Professional		$32.34	$126.38	$392.15
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 $344.15 / $475.41 / $761.21	Professional		$344.15	$475.41	$761.21