Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.19 / $727.62 / $3,740.00	Facility		$367.19	$727.62	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.40 / $411.34 / $515.24	Professional		$346.40	$411.34	$515.24
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 $300.67 / $363.72 / $503.21	Professional		$300.67	$363.72	$503.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.65 / $529.02 / $610.26	Facility		$371.65	$529.02	$610.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.47 / $529.02 / $817.58	Professional		$347.47	$529.02	$817.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.32 / $695.28 / $695.28	Facility		$406.32	$695.28	$695.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.86 / $551.91 / $813.24	Professional		$396.86	$551.91	$813.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $531.42	Professional		$32.34	$32.34	$531.42
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $357.45 / $507.20 / $797.51	Professional		$357.45	$507.20	$797.51