Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.95 / $787.00 / $3,740.00	Facility		$375.95	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $375.95 / $441.40 / $505.69	Professional		$375.95	$441.40	$505.69
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 $309.69 / $375.41 / $547.38	Professional		$309.69	$375.41	$547.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $413.10 / $588.60 / $679.00	Facility		$413.10	$588.60	$679.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.97 / $588.60 / $840.86	Professional		$410.97	$588.60	$840.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $456.63 / $523.76 / $523.76	Facility		$456.63	$523.76	$523.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $393.15 / $538.91 / $769.47	Professional		$393.15	$538.91	$769.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $546.55	Professional		$32.34	$32.34	$546.55
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 $358.17 / $492.74 / $769.47	Professional		$358.17	$492.74	$769.47