Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.73 / $787.00 / $8,229.00	Facility		$460.73	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.73 / $481.08 / $588.65	Professional		$460.73	$481.08	$588.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.02 / $454.44 / $685.33	Professional		$375.02	$454.44	$685.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $525.03 / $714.94 / $824.73	Facility		$525.03	$714.94	$824.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $587.27 / $714.94 / $1,149.01	Professional		$587.27	$714.94	$1,149.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.19 / $628.66 / $628.66	Facility		$455.19	$628.66	$628.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.77 / $639.57 / $999.20	Professional		$446.77	$639.57	$999.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $416.62 / $593.99 / $955.25	Professional		$416.62	$593.99	$955.25