Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.16 / $416.00 / $3,740.00	Facility		$324.16	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.44 / $332.71 / $447.89	Professional		$305.44	$332.71	$447.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.34 / $276.01 / $450.20	Professional		$231.34	$276.01	$450.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $245.91 / $393.46 / $462.88	Facility		$245.91	$393.46	$462.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.69 / $405.02 / $589.38	Professional		$294.69	$405.02	$589.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.38 / $416.00 / $532.30	Facility		$174.38	$416.00	$532.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $365.66 / $1,512.32	Professional		$267.37	$365.66	$1,512.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $182.19	Professional		$32.34	$32.34	$182.19
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $263.19 / $340.58 / $573.44	Professional		$263.19	$340.58	$573.44