Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.62 / $416.00 / $8,229.00	Facility		$283.62	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $374.46 / $570.54	Professional		$286.02	$374.46	$570.54
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 $247.33 / $348.50 / $548.12	Professional		$247.33	$348.50	$548.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $281.77 / $386.75 / $446.14	Facility		$281.77	$386.75	$446.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $270.02 / $391.69 / $621.55	Professional		$270.02	$391.69	$621.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.30 / $508.30 / $508.30	Facility		$508.30	$508.30	$508.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.19 / $448.42 / $768.89	Professional		$303.19	$448.42	$768.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $396.24	Professional		$32.34	$32.34	$396.24
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.22 / $497.10 / $786.79	Professional		$364.22	$497.10	$786.79