Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.48 / $787.00 / $3,740.00	Facility		$446.48	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.48 / $521.82 / $699.05	Professional		$446.48	$521.82	$699.05
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 $407.93 / $503.61 / $760.53	Professional		$407.93	$503.61	$760.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $485.74 / $696.07 / $802.96	Facility		$485.74	$696.07	$802.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.91 / $696.07 / $994.38	Professional		$546.91	$696.07	$994.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.51 / $614.51 / $688.34	Facility		$614.51	$614.51	$688.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $506.98 / $716.49 / $1,095.77	Professional		$506.98	$716.49	$1,095.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $646.35	Professional		$32.34	$32.34	$646.35
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.82 / $654.98 / $1,031.39	Professional		$459.82	$654.98	$1,031.39