Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.15 / $436.62 / $2,747.00	Facility		$346.15	$436.62	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.28 / $436.62 / $622.01	Professional		$362.28	$436.62	$622.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.82 / $496.96 / $722.60	Professional		$408.82	$496.96	$722.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $374.70 / $538.03 / $620.65	Facility		$374.70	$538.03	$620.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.10 / $538.03 / $777.70	Professional		$380.10	$538.03	$777.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.86 / $707.13 / $707.13	Facility		$541.86	$707.13	$707.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $415.65 / $636.26 / $1,027.94	Professional		$415.65	$636.26	$1,027.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $505.51	Professional		$32.34	$32.34	$505.51
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 $418.31 / $590.19 / $900.10	Professional		$418.31	$590.19	$900.10