Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.19 / $447.28 / $3,740.00	Facility		$335.19	$447.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.41 / $453.24 / $697.75	Professional		$355.41	$453.24	$697.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.05 / $401.01 / $521.74	Professional		$328.05	$401.01	$521.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $361.87 / $517.45 / $596.91	Facility		$361.87	$517.45	$596.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $406.32 / $518.38 / $739.22	Professional		$406.32	$518.38	$739.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $680.08 / $680.08 / $680.08	Facility		$680.08	$680.08	$680.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.16 / $616.74 / $970.76	Professional		$415.16	$616.74	$970.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $223.64 / $526.71	Professional		$32.34	$223.64	$526.71
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $480.57 / $663.03 / $993.56	Professional		$480.57	$663.03	$993.56