Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.76 / $432.78 / $3,740.00	Facility		$280.76	$432.78	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.76 / $340.65 / $432.78	Professional		$280.76	$340.65	$432.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.37 / $304.26 / $430.51	Professional		$250.37	$304.26	$430.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.94 / $442.01 / $509.88	Facility		$309.94	$442.01	$509.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $315.72 / $442.01 / $677.96	Professional		$315.72	$442.01	$677.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.49 / $580.91 / $580.91	Facility		$347.49	$580.91	$580.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.16 / $460.94 / $680.20	Professional		$332.16	$460.94	$680.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $440.67	Professional		$32.34	$32.34	$440.67
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 $306.75 / $423.61 / $635.29	Professional		$306.75	$423.61	$635.29