Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.25 / $522.30 / $3,740.00	Facility		$363.25	$522.30	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $327.97 / $395.35 / $504.78	Professional		$327.97	$395.35	$504.78
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 $284.68 / $357.22 / $505.27	Professional		$284.68	$357.22	$505.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.60 / $519.88 / $599.72	Facility		$364.60	$519.88	$599.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.53 / $519.88 / $796.52	Professional		$396.53	$519.88	$796.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $432.85 / $683.27 / $683.27	Facility		$432.85	$683.27	$683.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.45 / $539.49 / $806.97	Professional		$392.45	$539.49	$806.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $527.36	Professional		$32.34	$32.34	$527.36
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 $367.40 / $508.39 / $794.33	Professional		$367.40	$508.39	$794.33