Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.95 / $537.91 / $3,740.00	Facility		$474.95	$537.91	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.71 / $522.54 / $627.54	Professional		$474.71	$522.54	$627.54
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 $333.54 / $404.17 / $629.63	Professional		$333.54	$404.17	$629.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.97 / $587.20 / $690.83	Facility		$400.97	$587.20	$690.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.77 / $604.48 / $943.54	Professional		$471.77	$604.48	$943.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $320.77 / $377.82 / $794.46	Facility		$320.77	$377.82	$794.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.26 / $552.07 / $2,235.76	Professional		$403.26	$552.07	$2,235.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $241.12	Professional		$32.34	$32.34	$241.12
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 $425.74 / $507.20 / $848.31	Professional		$425.74	$507.20	$848.31