Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.70 / $787.00 / $3,740.00	Facility		$410.70	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.70 / $480.62 / $621.79	Professional		$410.70	$480.62	$621.79
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 $344.70 / $438.21 / $630.00	Professional		$344.70	$438.21	$630.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.67 / $641.76 / $740.32	Facility		$448.67	$641.76	$740.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.09 / $641.76 / $916.80	Professional		$448.09	$641.76	$916.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.82 / $568.02 / $568.02	Facility		$515.82	$568.02	$568.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.75 / $630.85 / $887.96	Professional		$458.75	$630.85	$887.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $595.91	Professional		$32.34	$32.34	$595.91
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 $422.28 / $569.58 / $905.38	Professional		$422.28	$569.58	$905.38