Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $253.53 / $357.22 / $3,740.00	Facility		$253.53	$357.22	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.53 / $313.39 / $357.22	Professional		$253.53	$313.39	$357.22
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 $146.03 / $232.53 / $373.35	Professional		$146.03	$232.53	$373.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $282.27 / $399.92 / $461.34	Facility		$282.27	$399.92	$461.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $285.66 / $399.92 / $636.00	Professional		$285.66	$399.92	$636.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.60 / $525.61 / $525.61	Facility		$312.60	$525.61	$525.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.32 / $388.86 / $601.91	Professional		$278.32	$388.86	$601.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $413.40	Professional		$32.34	$32.34	$413.40
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 $253.06 / $367.70 / $609.37	Professional		$253.06	$367.70	$609.37