Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.14 / $612.00 / $2,747.00	Facility		$360.14	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.14 / $540.89 / $758.36	Professional		$360.14	$540.89	$758.36
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 $240.77 / $343.83 / $591.83	Professional		$240.77	$343.83	$591.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.14 / $562.39 / $648.76	Facility		$398.14	$562.39	$648.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $440.28 / $566.41 / $903.85	Professional		$440.28	$566.41	$903.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.29 / $739.15 / $739.15	Facility		$561.29	$739.15	$739.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.55 / $646.01 / $1,102.42	Professional		$443.55	$646.01	$1,102.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $697.39	Professional		$32.34	$32.34	$697.39
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,396.50 / $6,295.00	Facility		$599.00	$2,396.50	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.49 / $721.98 / $1,125.40	Professional		$485.49	$721.98	$1,125.40