Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.69 / $637.00 / $2,747.00	Facility		$419.69	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.38 / $491.50 / $579.84	Professional		$396.38	$491.50	$579.84
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 $356.88 / $432.47 / $634.29	Professional		$356.88	$432.47	$634.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $655.47 / $756.12	Facility		$459.00	$655.47	$756.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.66 / $655.47 / $936.38	Professional		$457.66	$655.47	$936.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.62 / $581.41 / $581.41	Facility		$507.62	$581.41	$581.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.46 / $628.03 / $869.71	Professional		$467.46	$628.03	$869.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $608.65	Professional		$32.34	$32.34	$608.65
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.61 / $595.57 / $925.37	Professional		$421.61	$595.57	$925.37