Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.63 / $787.00 / $3,740.00	Facility		$289.63	$787.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.63 / $333.81 / $460.18	Professional		$289.63	$333.81	$460.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.22 / $376.38 / $532.61	Professional		$312.22	$376.38	$532.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $320.62 / $467.40 / $560.20	Facility		$320.62	$467.40	$560.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $333.86 / $451.71 / $667.72	Professional		$333.86	$451.71	$667.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.86 / $409.86 / $568.74	Facility		$409.86	$409.86	$568.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.87 / $520.72 / $759.25	Professional		$348.87	$520.72	$759.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $434.02	Professional		$32.34	$32.34	$434.02
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.59 / $489.57 / $645.69	Professional		$345.59	$489.57	$645.69