Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.64 / $787.00 / $8,229.00	Facility		$379.64	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.64 / $435.90 / $564.01	Professional		$379.64	$435.90	$564.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.41 / $418.14 / $592.05	Professional		$355.41	$418.14	$592.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $506.48 / $584.25	Facility		$371.69	$506.48	$584.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $397.71 / $506.48 / $723.54	Professional		$397.71	$506.48	$723.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.28 / $444.28 / $444.28	Facility		$444.28	$444.28	$444.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.54 / $557.54 / $909.49	Professional		$428.54	$557.54	$909.49
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $356.87 / $590.16 / $869.30	Professional		$356.87	$590.16	$869.30