Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.00 / $563.77 / $9,311.00	Facility		$378.00	$563.77	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.81 / $454.33 / $625.26	Professional		$399.81	$454.33	$625.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,428.00 / $8,517.00	Facility		$1,643.00	$3,428.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.07 / $380.54 / $483.69	Professional		$314.07	$380.54	$483.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.74 / $548.85 / $640.77	Facility		$450.74	$548.85	$640.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $431.97 / $618.66 / $883.82	Professional		$431.97	$618.66	$883.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $542.73 / $542.73 / $542.73	Facility		$542.73	$542.73	$542.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.28 / $560.89 / $922.75	Professional		$409.28	$560.89	$922.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $574.48	Professional		$32.34	$32.34	$574.48
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.84 / $551.49 / $793.13	Professional		$400.84	$551.49	$793.13