Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.72 / $540.21 / $3,954.54	Facility		$272.72	$540.21	$3,954.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $330.45 / $459.96	Professional		$233.18	$330.45	$459.96
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 $177.65 / $218.48 / $428.47	Professional		$177.65	$218.48	$428.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.80 / $347.10 / $400.41	Facility		$245.80	$347.10	$400.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.72 / $349.58 / $557.84	Professional		$272.72	$349.58	$557.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.19 / $456.19 / $531.92	Facility		$456.19	$456.19	$531.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.58 / $445.79 / $782.37	Professional		$300.58	$445.79	$782.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $132.46 / $397.85	Professional		$32.34	$132.46	$397.85
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 $359.90 / $478.15 / $770.29	Professional		$359.90	$478.15	$770.29