Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.26 / $1,248.00 / $2,652.00	Facility		$335.26	$1,248.00	$2,652.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $583.35 / $1,248.00 / $1,294.80	Professional		$583.35	$1,248.00	$1,294.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $419.08 / $436.54 / $1,534.00	Facility		$419.08	$436.54	$1,534.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $370.18 / $471.97	Professional		$370.18	$370.18	$471.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.93 / $208.50 / $246.05	Facility		$148.93	$208.50	$246.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.93 / $163.82 / $229.35	Professional		$148.93	$163.82	$229.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $356.22 / $1,326.00	Facility		$356.22	$356.22	$1,326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.18 / $1,326.00 / $1,326.00	Professional		$370.18	$1,326.00	$1,326.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $167.63 / $3,000.00 / $3,000.00	Professional		$167.63	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,300.00 / $1,378.00 / $1,447.17	Professional		$1,300.00	$1,378.00	$1,447.17