Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.47 / $770.78 / $3,740.00	Facility		$403.47	$770.78	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.47 / $434.33 / $552.74	Professional		$403.47	$434.33	$552.74
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 $369.82 / $467.75 / $658.10	Professional		$369.82	$467.75	$658.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $404.59 / $553.98 / $639.07	Facility		$404.59	$553.98	$639.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.06 / $553.98 / $845.30	Professional		$455.06	$553.98	$845.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.24 / $728.09 / $728.09	Facility		$482.24	$728.09	$728.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $619.19 / $964.23	Professional		$432.63	$619.19	$964.23
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 $405.13 / $610.11 / $937.68	Professional		$405.13	$610.11	$937.68