Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.92 / $787.00 / $3,740.00	Facility		$204.92	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.92 / $264.08 / $352.11	Professional		$204.92	$264.08	$352.11
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 $179.61 / $215.94 / $394.41	Professional		$179.61	$215.94	$394.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.39 / $427.87 / $493.58	Facility		$284.39	$427.87	$493.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $427.87 / $611.24	Professional		$336.18	$427.87	$611.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $374.98 / $374.98 / $420.21	Facility		$374.98	$374.98	$420.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.10 / $443.62 / $817.09	Professional		$291.10	$443.62	$817.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $397.31	Professional		$32.34	$32.34	$397.31
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.23 / $432.63 / $703.28	Professional		$260.23	$432.63	$703.28