Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.92 / $542.25 / $2,747.00	Facility		$277.92	$542.25	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $423.48 / $612.94	Professional		$296.01	$423.48	$612.94
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 $214.52 / $268.06 / $507.89	Professional		$214.52	$268.06	$507.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $307.67 / $434.95 / $501.75	Facility		$307.67	$434.95	$501.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $340.16 / $438.06 / $699.03	Professional		$340.16	$438.06	$699.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $539.34 / $571.65 / $571.65	Facility		$539.34	$571.65	$571.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $534.44 / $898.02	Professional		$360.00	$534.44	$898.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $136.69 / $477.18	Professional		$32.34	$136.69	$477.18
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 $420.48 / $585.40 / $957.08	Professional		$420.48	$585.40	$957.08