Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.30 / $563.85 / $3,740.00	Facility		$490.30	$563.85	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.44 / $563.85 / $924.13	Professional		$493.44	$563.85	$924.13
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 $471.52 / $575.26 / $1,253.20	Professional		$471.52	$575.26	$1,253.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.73 / $606.19 / $713.17	Facility		$389.73	$606.19	$713.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $624.02 / $943.10	Professional		$490.30	$624.02	$943.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $820.14 / $889.80	Facility		$311.77	$820.14	$889.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.50 / $941.61 / $2,307.48	Professional		$438.50	$941.61	$2,307.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $556.33	Professional		$32.34	$32.34	$556.33
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 $473.79 / $899.27 / $1,222.92	Professional		$473.79	$899.27	$1,222.92