Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.68 / $637.00 / $2,747.00	Facility		$301.68	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.32 / $447.99 / $646.01	Professional		$313.32	$447.99	$646.01
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 $228.59 / $285.42 / $546.65	Professional		$228.59	$285.42	$546.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.34 / $477.27 / $550.55	Facility		$336.34	$477.27	$550.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $479.93 / $767.05	Professional		$375.00	$479.93	$767.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.04 / $627.27 / $627.27	Facility		$553.04	$627.27	$627.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $578.34 / $1,009.91	Professional		$375.81	$578.34	$1,009.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $638.27	Professional		$32.34	$32.34	$638.27
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 $468.10 / $679.12 / $1,061.20	Professional		$468.10	$679.12	$1,061.20