Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.72 / $695.90 / $2,747.00	Facility		$393.72	$695.90	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.72 / $456.03 / $695.90	Professional		$393.72	$456.03	$695.90
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 $247.73 / $394.67 / $657.20	Professional		$247.73	$394.67	$657.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.31 / $612.77 / $706.88	Facility		$433.31	$612.77	$706.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.23 / $612.77 / $875.38	Professional		$477.23	$612.77	$875.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.02 / $537.02 / $582.91	Facility		$537.02	$537.02	$582.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.17 / $636.00 / $943.00	Professional		$457.17	$636.00	$943.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $569.00	Professional		$32.34	$32.34	$569.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $5,995.00	Facility		$599.00	$2,723.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.54 / $616.60 / $950.63	Professional		$459.54	$616.60	$950.63