Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.14 / $763.54 / $3,740.00	Facility		$389.14	$763.54	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.51 / $418.62 / $520.10	Professional		$354.51	$418.62	$520.10
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 $285.37 / $351.66 / $559.10	Professional		$285.37	$351.66	$559.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.85 / $556.22 / $641.65	Facility		$390.85	$556.22	$641.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $437.03 / $556.22 / $871.76	Professional		$437.03	$556.22	$871.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.23 / $731.03 / $731.03	Facility		$418.23	$731.03	$731.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $404.79 / $571.48 / $852.59	Professional		$404.79	$571.48	$852.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $139.83 / $479.47	Professional		$32.34	$139.83	$479.47
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 $381.68 / $567.63 / $845.99	Professional		$381.68	$567.63	$845.99