Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.37 / $787.00 / $3,740.00	Facility		$358.37	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.08 / $427.05 / $519.29	Professional		$348.08	$427.05	$519.29
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 $332.53 / $424.59 / $593.72	Professional		$332.53	$424.59	$593.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.30 / $456.11 / $526.15	Facility		$332.30	$456.11	$526.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.24 / $459.36 / $795.12	Professional		$385.24	$459.36	$795.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.11 / $599.45 / $599.45	Facility		$353.11	$599.45	$599.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.84 / $579.22 / $918.31	Professional		$383.84	$579.22	$918.31
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $403.39 / $599.21 / $855.16	Professional		$403.39	$599.21	$855.16