Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.72 / $896.00 / $8,229.00	Facility		$389.72	$896.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.72 / $455.69 / $588.83	Professional		$389.72	$455.69	$588.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,320.00 / $4,334.00 / $11,433.00	Facility		$2,320.00	$4,334.00	$11,433.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.86 / $418.27 / $644.62	Professional		$328.86	$418.27	$644.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.19 / $607.75 / $701.08	Facility		$424.19	$607.75	$701.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $434.11 / $607.75 / $868.22	Professional		$434.11	$607.75	$868.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.77 / $536.77 / $557.78	Facility		$536.77	$536.77	$557.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.36 / $597.39 / $949.54	Professional		$445.36	$597.39	$949.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $564.34	Professional		$32.34	$32.34	$564.34
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 $397.40 / $556.14 / $867.16	Professional		$397.40	$556.14	$867.16