Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.16 / $612.00 / $2,747.00	Facility		$374.16	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.74 / $443.67 / $662.28	Professional		$342.74	$443.67	$662.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.47 / $310.79 / $484.85	Professional		$256.47	$310.79	$484.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $329.55 / $462.73 / $528.83	Facility		$329.55	$462.73	$528.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $379.27 / $466.03 / $743.67	Professional		$379.27	$466.03	$743.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.81 / $608.16 / $1,117.44	Facility		$270.81	$608.16	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.67 / $488.01 / $1,713.46	Professional		$328.67	$488.01	$1,713.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $215.44	Professional		$32.34	$32.34	$215.44
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 $373.57 / $486.80 / $812.15	Professional		$373.57	$486.80	$812.15