Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.37 / $510.60 / $2,747.00	Facility		$343.37	$510.60	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.37 / $468.73 / $622.12	Professional		$343.37	$468.73	$622.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,353.00 / $8,517.00	Facility		$1,643.00	$3,353.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.49 / $383.38 / $559.05	Professional		$281.49	$383.38	$559.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.78 / $413.73 / $483.02	Facility		$339.78	$413.73	$483.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.97 / $477.86 / $928.36	Professional		$302.97	$477.86	$928.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.48 / $612.94 / $1,829.00	Facility		$502.48	$612.94	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.92 / $503.69 / $871.97	Professional		$363.92	$503.69	$871.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $603.42	Professional		$32.34	$32.34	$603.42
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.13 / $601.19 / $841.48	Professional		$434.13	$601.19	$841.48