Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.52 / $637.00 / $2,747.00	Facility		$321.52	$637.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $376.15 / $493.20	Professional		$321.52	$376.15	$493.20
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 $285.77 / $353.80 / $519.82	Professional		$285.77	$353.80	$519.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $367.95 / $527.34 / $608.32	Facility		$367.95	$527.34	$608.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $368.19 / $523.10 / $753.34	Professional		$368.19	$523.10	$753.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.89 / $464.98 / $464.98	Facility		$463.89	$464.98	$464.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.60 / $535.33 / $763.00	Professional		$380.60	$535.33	$763.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $489.67	Professional		$32.34	$32.34	$489.67
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 $358.90 / $496.37 / $702.06	Professional		$358.90	$496.37	$702.06