Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.91 / $586.20 / $2,747.00	Facility		$280.91	$586.20	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.91 / $431.90 / $586.20	Professional		$280.91	$431.90	$586.20
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 $207.40 / $256.44 / $484.01	Professional		$207.40	$256.44	$484.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $323.48 / $459.31 / $529.85	Facility		$323.48	$459.31	$529.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $360.89 / $462.59 / $738.18	Professional		$360.89	$462.59	$738.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $545.52 / $603.66 / $603.66	Facility		$545.52	$603.66	$603.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $350.53 / $533.61 / $919.25	Professional		$350.53	$533.61	$919.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $644.83	Professional		$32.34	$32.34	$644.83
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 $430.80 / $572.36 / $925.81	Professional		$430.80	$572.36	$925.81