Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.49 / $416.00 / $3,740.00	Facility		$302.49	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.49 / $348.64 / $461.27	Professional		$302.49	$348.64	$461.27
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 $235.17 / $276.68 / $404.48	Professional		$235.17	$276.68	$404.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.83 / $405.85 / $468.18	Facility		$298.83	$405.85	$468.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $319.75 / $405.85 / $579.78	Professional		$319.75	$405.85	$579.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $357.11 / $357.11 / $366.11	Facility		$357.11	$357.11	$366.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $305.86 / $392.82 / $596.53	Professional		$305.86	$392.82	$596.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.17 / $426.74 / $598.94	Professional		$272.17	$426.74	$598.94