Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.15 / $527.47 / $8,229.00	Facility		$332.15	$527.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.68 / $424.23 / $651.67	Professional		$326.68	$424.23	$651.67
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 $257.86 / $350.60 / $583.44	Professional		$257.86	$350.60	$583.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.77 / $448.53 / $517.41	Facility		$326.77	$448.53	$517.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $320.38 / $464.55 / $720.86	Professional		$320.38	$464.55	$720.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $589.50 / $589.50 / $589.50	Facility		$589.50	$589.50	$589.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.53 / $505.30 / $838.10	Professional		$340.53	$505.30	$838.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $527.47	Professional		$32.34	$32.34	$527.47
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $429.67 / $551.72 / $973.59	Professional		$429.67	$551.72	$973.59