Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $376.82 / $801.35 / $7,909.08	Facility		$376.82	$801.35	$7,909.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.08 / $437.90 / $721.03	Professional		$386.08	$437.90	$721.03
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 $370.67 / $459.14 / $595.30	Professional		$370.67	$459.14	$595.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.71 / $585.14 / $675.01	Facility		$411.71	$585.14	$675.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $408.56 / $585.14 / $835.92	Professional		$408.56	$585.14	$835.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.73 / $513.73 / $513.73	Facility		$513.73	$513.73	$513.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.11 / $605.58 / $909.58	Professional		$428.11	$605.58	$909.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $543.35	Professional		$32.34	$32.34	$543.35
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 $438.76 / $598.30 / $893.49	Professional		$438.76	$598.30	$893.49