Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.47 / $787.00 / $3,740.00	Facility		$342.47	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.47 / $401.60 / $474.95	Professional		$342.47	$401.60	$474.95
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 $291.48 / $366.56 / $527.40	Professional		$291.48	$366.56	$527.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.84 / $536.28 / $618.64	Facility		$375.84	$536.28	$618.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.37 / $536.28 / $766.12	Professional		$421.37	$536.28	$766.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.98 / $476.15 / $476.15	Facility		$427.98	$476.15	$476.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.19 / $519.01 / $728.14	Professional		$382.19	$519.01	$728.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $497.98	Professional		$32.34	$32.34	$497.98
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 $345.14 / $479.81 / $749.68	Professional		$345.14	$479.81	$749.68