Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.04 / $787.00 / $3,740.00	Facility		$351.04	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.04 / $411.43 / $488.22	Professional		$351.04	$411.43	$488.22
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 $309.05 / $386.63 / $571.79	Professional		$309.05	$386.63	$571.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.26 / $547.80 / $631.94	Facility		$383.26	$547.80	$631.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.49 / $547.80 / $782.58	Professional		$382.49	$547.80	$782.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.74 / $485.07 / $485.07	Facility		$480.74	$485.07	$485.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.03 / $564.09 / $792.66	Professional		$402.03	$564.09	$792.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $508.68	Professional		$32.34	$32.34	$508.68
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $369.28 / $498.44 / $778.08	Professional		$369.28	$498.44	$778.08