Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.80 / $787.00 / $8,229.00	Facility		$407.80	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.80 / $440.23 / $505.69	Professional		$407.80	$440.23	$505.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,346.00 / $8,517.00	Facility		$1,643.00	$3,346.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.13 / $268.97 / $357.24	Professional		$215.13	$268.97	$357.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $515.02 / $552.04 / $628.35	Facility		$515.02	$552.04	$628.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $405.76 / $561.03 / $1,009.85	Professional		$405.76	$561.03	$1,009.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.58 / $552.58 / $1,961.00	Facility		$552.58	$552.58	$1,961.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.27 / $540.51 / $900.07	Professional		$409.27	$540.51	$900.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.50 / $452.25 / $1,057.20	Professional		$301.50	$452.25	$1,057.20