Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.46 / $787.00 / $3,740.00	Facility		$376.46	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.46 / $440.79 / $606.77	Professional		$376.46	$440.79	$606.77
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 $348.67 / $424.95 / $640.27	Professional		$348.67	$424.95	$640.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.68 / $587.89 / $678.17	Facility		$410.68	$587.89	$678.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.92 / $587.89 / $839.84	Professional		$419.92	$587.89	$839.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $520.03 / $520.03 / $597.47	Facility		$520.03	$520.03	$597.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.10 / $605.38 / $924.01	Professional		$430.10	$605.38	$924.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $545.90	Professional		$32.34	$32.34	$545.90
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $395.96 / $556.86 / $835.07	Professional		$395.96	$556.86	$835.07