Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.38 / $860.00 / $3,740.00	Facility		$294.38	$860.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.44 / $361.28 / $409.26	Professional		$308.44	$361.28	$409.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.21 / $1,036.13 / $11,253.00	Facility		$343.21	$1,036.13	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $391.00 / $460.00 / $653.54	Professional		$391.00	$460.00	$653.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $486.75 / $626.34	Facility		$347.16	$486.75	$626.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $357.91 / $501.07 / $590.54	Professional		$357.91	$501.07	$590.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $289.87 / $439.50 / $439.50	Facility		$289.87	$439.50	$439.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.66 / $446.16 / $733.28	Professional		$319.66	$446.16	$733.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.53 / $170.07 / $226.77	Professional		$163.53	$170.07	$226.77
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $19,085.00	Facility		$50.00	$668.00	$19,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.68 / $468.13 / $733.54	Professional		$318.68	$468.13	$733.54