Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.80 / $787.00 / $3,740.00	Facility		$349.80	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.94 / $415.82 / $506.24	Professional		$339.94	$415.82	$506.24
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 $324.64 / $389.01 / $574.79	Professional		$324.64	$389.01	$574.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.36 / $445.20 / $513.57	Facility		$324.36	$445.20	$513.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $378.42 / $448.38 / $775.00	Professional		$378.42	$448.38	$775.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.20 / $585.12 / $585.12	Facility		$345.20	$585.12	$585.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.45 / $568.52 / $944.73	Professional		$374.45	$568.52	$944.73
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 $599.00 / $3,086.00 / $6,861.52	Facility		$599.00	$3,086.00	$6,861.52
United Facility/Professional Professional Modifier Low / Median / High Price $405.44 / $583.78 / $859.90	Professional		$405.44	$583.78	$859.90