Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.15 / $787.00 / $8,229.00	Facility		$413.15	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $421.79 / $447.24 / $523.91	Professional		$421.79	$447.24	$523.91
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 $331.07 / $401.19 / $609.51	Professional		$331.07	$401.19	$609.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $432.38 / $593.46 / $684.61	Facility		$432.38	$593.46	$684.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $593.46 / $953.78	Professional		$487.49	$593.46	$953.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.32 / $536.86 / $536.86	Facility		$417.32	$536.86	$536.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $557.16 / $887.01	Professional		$411.98	$557.16	$887.01
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 / $3,086.00 / $7,000.00	Facility		$599.00	$3,086.00	$7,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.02 / $530.17 / $844.33	Professional		$373.02	$530.17	$844.33