Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.12 / $396.52 / $3,740.00	Facility		$283.12	$396.52	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $283.12 / $357.12 / $448.92	Professional		$283.12	$357.12	$448.92
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 $177.95 / $260.55 / $444.50	Professional		$177.95	$260.55	$444.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $312.89 / $444.36 / $512.60	Facility		$312.89	$444.36	$512.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $349.14 / $444.36 / $704.02	Professional		$349.14	$444.36	$704.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.33 / $584.02 / $584.02	Facility		$375.33	$584.02	$584.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $455.14 / $679.12	Professional		$313.14	$455.14	$679.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $457.61	Professional		$32.34	$32.34	$457.61
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.57 / $434.66 / $679.13	Professional		$298.57	$434.66	$679.13