Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $467.01 / $5,320.00	Facility		$333.08	$467.01	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.08 / $399.35 / $467.01	Professional		$333.08	$399.35	$467.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.07 / $342.57 / $507.80	Professional		$282.07	$342.57	$507.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $366.13 / $521.08 / $601.10	Facility		$366.13	$521.08	$601.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $521.08 / $817.58	Professional		$363.83	$521.08	$817.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.41 / $684.85 / $684.85	Facility		$382.41	$684.85	$684.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.03 / $521.91 / $761.25	Professional		$371.03	$521.91	$761.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $531.42	Professional		$32.34	$32.34	$531.42
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 $351.90 / $502.18 / $775.85	Professional		$351.90	$502.18	$775.85