Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.62 / $323.33 / $3,740.00	Facility		$225.62	$323.33	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.62 / $283.23 / $323.33	Professional		$225.62	$283.23	$323.33
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 $121.36 / $206.98 / $331.69	Professional		$121.36	$206.98	$331.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.51 / $354.91 / $409.41	Facility		$250.51	$354.91	$409.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $253.51 / $354.91 / $570.40	Professional		$253.51	$354.91	$570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.54 / $466.46 / $466.46	Facility		$314.54	$466.46	$466.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.57 / $351.64 / $538.75	Professional		$250.57	$351.64	$538.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $373.82	Professional		$32.34	$32.34	$373.82
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,396.50 / $6,295.00	Facility		$599.00	$2,396.50	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $321.52 / $551.34	Professional		$211.39	$321.52	$551.34