Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $428.34 / $3,740.00	Facility		$302.33	$428.34	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $367.83 / $428.34	Professional		$302.33	$367.83	$428.34
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 $246.79 / $311.49 / $456.73	Professional		$246.79	$311.49	$456.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.05 / $474.14 / $546.95	Facility		$333.05	$474.14	$546.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.85 / $474.14 / $716.79	Professional		$356.85	$474.14	$716.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.20 / $623.15 / $623.15	Facility		$363.20	$623.15	$623.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.44 / $482.12 / $695.02	Professional		$344.44	$482.12	$695.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $474.58	Professional		$32.34	$32.34	$474.58
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 $325.08 / $455.98 / $711.59	Professional		$325.08	$455.98	$711.59