Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.45 / $612.00 / $2,747.00	Facility		$315.45	$612.00	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $447.32 / $602.22	Professional		$309.02	$447.32	$602.22
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 $203.93 / $247.12 / $421.36	Professional		$203.93	$247.12	$421.36
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $305.89 / $370.68 / $632.04	Professional	50	$305.89	$370.68	$632.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.18 / $390.73 / $446.54	Facility		$279.18	$390.73	$446.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $279.08 / $404.68 / $627.95	Professional		$279.08	$404.68	$627.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $262.38 / $513.53 / $1,117.44	Facility		$262.38	$513.53	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.41 / $425.84 / $1,456.22	Professional		$258.41	$425.84	$1,456.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $204.74	Professional		$32.34	$32.34	$204.74
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 $310.92 / $420.11 / $739.95	Professional		$310.92	$420.11	$739.95