Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.63 / $416.00 / $3,740.00	Facility		$259.63	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.44 / $304.69 / $516.26	Professional		$252.44	$304.69	$516.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,010.00 / $2,045.00 / $2,978.00	Facility		$1,010.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.94 / $496.04 / $738.50	Professional		$370.94	$496.04	$738.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.75 / $311.04 / $365.94	Facility		$219.75	$311.04	$365.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.34 / $320.19 / $514.60	Professional		$250.34	$320.19	$514.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.79 / $420.83 / $531.60	Facility		$175.79	$420.83	$531.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.84 / $545.64 / $1,178.68	Professional		$245.84	$545.64	$1,178.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $412.32	Professional		$32.34	$32.34	$412.32
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.66 / $485.47 / $684.62	Professional		$281.66	$485.47	$684.62