Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.80 / $787.00 / $3,740.00	Facility		$411.80	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.80 / $483.36 / $569.41	Professional		$411.80	$483.36	$569.41
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 $354.48 / $443.73 / $668.02	Professional		$354.48	$443.73	$668.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.63 / $642.98 / $741.72	Facility		$450.63	$642.98	$741.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $506.20 / $642.98 / $918.54	Professional		$506.20	$642.98	$918.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.80 / $570.63 / $570.63	Facility		$559.80	$570.63	$570.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $469.18 / $630.99 / $941.26	Professional		$469.18	$630.99	$941.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $597.04	Professional		$32.34	$32.34	$597.04
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 $418.48 / $581.04 / $902.60	Professional		$418.48	$581.04	$902.60