Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.84 / $484.91 / $3,740.00	Facility		$418.84	$484.91	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.10 / $451.50 / $565.14	Professional		$384.10	$451.50	$565.14
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 $302.17 / $364.71 / $560.66	Professional		$302.17	$364.71	$560.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.58 / $517.84 / $609.22	Facility		$368.58	$517.84	$609.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $424.16 / $533.05 / $848.32	Professional		$424.16	$533.05	$848.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $294.87 / $345.20 / $700.60	Facility		$294.87	$345.20	$700.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $362.13 / $494.49 / $1,972.25	Professional		$362.13	$494.49	$1,972.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $224.40	Professional		$32.34	$32.34	$224.40
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 $387.85 / $483.53 / $791.75	Professional		$387.85	$483.53	$791.75