Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.61 / $749.08 / $2,747.00	Facility		$425.61	$749.08	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.61 / $512.13 / $836.43	Professional		$425.61	$512.13	$836.43
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 $409.44 / $489.15 / $714.98	Professional		$409.44	$489.15	$714.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $462.57 / $663.82 / $765.78	Facility		$462.57	$663.82	$765.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $474.16 / $663.82 / $948.32	Professional		$474.16	$663.82	$948.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $585.13 / $585.13 / $605.91	Facility		$585.13	$585.13	$605.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $494.08 / $683.19 / $996.00	Professional		$494.08	$683.19	$996.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $616.41	Professional		$32.34	$32.34	$616.41
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.12 / $662.07 / $954.66	Professional		$450.12	$662.07	$954.66