Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.46 / $787.00 / $8,229.00	Facility		$337.46	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.97 / $385.93 / $527.94	Professional		$323.97	$385.93	$527.94
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 $302.50 / $366.57 / $542.20	Professional		$302.50	$366.57	$542.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.99 / $428.87 / $513.05	Facility		$305.99	$428.87	$513.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $317.68 / $428.87 / $635.36	Professional		$317.68	$428.87	$635.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $392.68 / $392.68 / $408.10	Facility		$392.68	$392.68	$408.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.90 / $475.51 / $736.31	Professional		$331.90	$475.51	$736.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $412.98	Professional		$32.34	$32.34	$412.98
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $399.00 / $3,176.00	Facility		$59.00	$399.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $321.76 / $455.63 / $706.57	Professional		$321.76	$455.63	$706.57