Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.45 / $460.69 / $3,740.00	Facility		$318.45	$460.69	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.45 / $387.09 / $460.69	Professional		$318.45	$387.09	$460.69
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 $274.24 / $336.13 / $483.32	Professional		$274.24	$336.13	$483.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.78 / $499.56 / $576.29	Facility		$350.78	$499.56	$576.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $392.51 / $499.56 / $769.82	Professional		$392.51	$499.56	$769.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.76 / $656.57 / $656.57	Facility		$371.76	$656.57	$656.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.44 / $514.79 / $734.77	Professional		$363.44	$514.79	$734.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $500.38	Professional		$32.34	$32.34	$500.38
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 $337.71 / $478.13 / $809.10	Professional		$337.71	$478.13	$809.10