Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.30 / $474.28 / $3,740.00	Facility		$304.30	$474.28	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.30 / $371.23 / $474.28	Professional		$304.30	$371.23	$474.28
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 $248.23 / $298.93 / $455.80	Professional		$248.23	$298.93	$455.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.47 / $478.32 / $551.78	Facility		$336.47	$478.32	$551.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.83 / $478.32 / $745.16	Professional		$375.83	$478.32	$745.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.42 / $628.65 / $628.65	Facility		$343.42	$628.65	$628.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $473.12 / $685.93	Professional		$331.60	$473.12	$685.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $484.35	Professional		$32.34	$32.34	$484.35
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.64 / $458.45 / $775.41	Professional		$323.64	$458.45	$775.41