Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $456.92 / $646.86 / $3,740.00	Facility		$456.92	$646.86	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.92 / $544.97 / $692.78	Professional		$456.92	$544.97	$692.78
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 $409.98 / $490.72 / $706.20	Professional		$409.98	$490.72	$706.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $499.89 / $714.34 / $824.03	Facility		$499.89	$714.34	$824.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $561.26 / $714.34 / $1,059.23	Professional		$561.26	$714.34	$1,059.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $567.91 / $938.84 / $938.84	Facility		$567.91	$938.84	$938.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.28 / $743.42 / $1,068.96	Professional		$531.28	$743.42	$1,068.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $701.30	Professional		$32.34	$32.34	$701.30
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 $487.98 / $699.09 / $1,060.67	Professional		$487.98	$699.09	$1,060.67