Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.99 / $556.78 / $2,747.00	Facility		$267.99	$556.78	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.54 / $407.18 / $586.91	Professional		$287.54	$407.18	$586.91
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 $194.38 / $246.87 / $444.29	Professional		$194.38	$246.87	$444.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $293.05 / $415.21 / $478.97	Facility		$293.05	$415.21	$478.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $326.24 / $418.57 / $667.31	Professional		$326.24	$418.57	$667.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $462.38 / $545.71 / $545.71	Facility		$462.38	$545.71	$545.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.19 / $496.80 / $862.26	Professional		$331.19	$496.80	$862.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $556.66	Professional		$32.34	$32.34	$556.66
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 $401.32 / $551.82 / $888.04	Professional		$401.32	$551.82	$888.04