Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.95 / $559.79 / $2,747.00	Facility		$314.95	$559.79	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.31 / $354.96 / $489.79	Professional		$298.31	$354.96	$489.79
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 $255.36 / $318.30 / $480.00	Professional		$255.36	$318.30	$480.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $310.52 / $442.46 / $510.40	Facility		$310.52	$442.46	$510.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $348.15 / $442.46 / $700.74	Professional		$348.15	$442.46	$700.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.82 / $581.51 / $581.51	Facility		$398.82	$581.51	$581.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.12 / $468.70 / $687.69	Professional		$338.12	$468.70	$687.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $455.48	Professional		$32.34	$32.34	$455.48
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 $317.14 / $458.80 / $686.39	Professional		$317.14	$458.80	$686.39