Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.75 / $787.08 / $8,197.21	Facility		$368.75	$787.08	$8,197.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $452.40 / $589.57	Professional		$368.75	$452.40	$589.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.63 / $458.81 / $596.69	Professional		$378.63	$458.81	$596.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $417.24 / $572.67 / $660.63	Facility		$417.24	$572.67	$660.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.42 / $572.67 / $818.12	Professional		$470.42	$572.67	$818.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.31 / $501.31 / $501.31	Facility		$501.31	$501.31	$501.31
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $49.77 / $49.77 / $49.77	Facility	AS	$49.77	$49.77	$49.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $439.82 / $602.05 / $917.35	Professional		$439.82	$602.05	$917.35
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $426.93 / $606.76 / $861.82	Professional		$426.93	$606.76	$861.82