Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.99 / $988.00 / $3,740.00	Facility		$374.99	$988.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.99 / $440.52 / $473.00	Professional		$374.99	$440.52	$473.00
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 $317.44 / $380.21 / $569.74	Professional		$317.44	$380.21	$569.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.49 / $586.74 / $676.86	Facility		$411.49	$586.74	$676.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $419.10 / $586.74 / $838.20	Professional		$419.10	$586.74	$838.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.15 / $521.15 / $521.15	Facility		$521.15	$521.15	$521.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $563.66 / $850.27	Professional		$402.71	$563.66	$850.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $544.83	Professional		$32.34	$32.34	$544.83
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 $374.55 / $498.08 / $792.84	Professional		$374.55	$498.08	$792.84