Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.14 / $384.37 / $2,747.00	Facility		$301.14	$384.37	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.04 / $310.97 / $369.89	Professional		$274.04	$310.97	$369.89
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 $250.33 / $318.14 / $448.10	Professional		$250.33	$318.14	$448.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $296.32 / $406.70 / $469.17	Facility		$296.32	$406.70	$469.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $319.00 / $409.61 / $653.63	Professional		$319.00	$409.61	$653.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.36 / $534.52 / $534.52	Facility		$354.36	$534.52	$534.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.75 / $410.18 / $654.22	Professional		$308.75	$410.18	$654.22
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 $290.48 / $443.03 / $660.98	Professional		$290.48	$443.03	$660.98