Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.70 / $787.00 / $3,740.00	Facility		$285.70	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.70 / $334.44 / $715.67	Professional		$285.70	$334.44	$715.67
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 $260.05 / $312.67 / $530.00	Professional		$260.05	$312.67	$530.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $313.02 / $446.39 / $514.94	Facility		$313.02	$446.39	$514.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.68 / $446.39 / $637.70	Professional		$311.68	$446.39	$637.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $396.91 / $396.91 / $704.71	Facility		$396.91	$396.91	$704.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.60 / $460.04 / $693.73	Professional		$324.60	$460.04	$693.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $414.51	Professional		$32.34	$32.34	$414.51
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 $295.39 / $420.14 / $629.16	Professional		$295.39	$420.14	$629.16