Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.40 / $612.00 / $2,747.00	Facility		$332.40	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $418.95 / $614.86	Professional		$305.25	$418.95	$614.86
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 $217.95 / $264.11 / $438.02	Professional		$217.95	$264.11	$438.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.05 / $412.22 / $471.10	Facility		$294.05	$412.22	$471.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $426.94 / $662.49	Professional		$323.20	$426.94	$662.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $282.33 / $541.77 / $1,117.44	Facility		$282.33	$541.77	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.12 / $445.42 / $1,534.16	Professional		$275.12	$445.42	$1,534.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $238.76	Professional		$32.34	$32.34	$238.76
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 $326.32 / $466.17 / $786.81	Professional		$326.32	$466.17	$786.81