Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.04 / $787.00 / $8,229.00	Facility		$329.04	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.04 / $343.63 / $403.34	Professional		$329.04	$343.63	$403.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $371.35 / $505.20	Professional		$306.45	$371.35	$505.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.64 / $451.30 / $520.62	Facility		$329.64	$451.30	$520.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.71 / $451.30 / $644.72	Professional		$370.71	$451.30	$644.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.61 / $395.28 / $395.28	Facility		$339.61	$395.28	$395.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.50 / $480.78 / $736.64	Professional		$336.50	$480.78	$736.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $299.25 / $451.47 / $672.63	Professional		$299.25	$451.47	$672.63