Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.45 / $704.94 / $2,747.00	Facility		$322.45	$704.94	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.45 / $380.17 / $704.94	Professional		$322.45	$380.17	$704.94
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 $211.82 / $312.55 / $571.94	Professional		$211.82	$312.55	$571.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $356.91 / $509.70 / $587.97	Facility		$356.91	$509.70	$587.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $400.48 / $509.70 / $728.14	Professional		$400.48	$509.70	$728.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.96 / $451.96 / $485.08	Facility		$451.96	$451.96	$485.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.35 / $526.66 / $817.48	Professional		$375.35	$526.66	$817.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $473.29	Professional		$32.34	$32.34	$473.29
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 $341.47 / $473.68 / $718.67	Professional		$341.47	$473.68	$718.67