Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.77 / $787.00 / $8,229.00	Facility		$465.77	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $459.29 / $487.20 / $569.44	Professional		$459.29	$487.20	$569.44
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 $381.65 / $462.47 / $686.24	Professional		$381.65	$462.47	$686.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.97 / $649.16 / $748.87	Facility		$472.97	$649.16	$748.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $533.24 / $649.16 / $927.38	Professional		$533.24	$649.16	$927.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.46 / $583.09 / $583.09	Facility		$470.46	$583.09	$583.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.50 / $643.66 / $1,007.42	Professional		$479.50	$643.66	$1,007.42
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $444.74 / $603.29 / $869.68	Professional		$444.74	$603.29	$869.68