Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.89 / $787.00 / $8,229.00	Facility		$448.89	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.71 / $467.60 / $486.47	Professional		$403.71	$467.60	$486.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.35 / $457.27 / $664.52	Professional		$377.35	$457.27	$664.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.64 / $640.49 / $738.85	Facility		$466.64	$640.49	$738.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.11 / $640.49 / $914.98	Professional		$526.11	$640.49	$914.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.58 / $562.44 / $562.44	Facility		$524.58	$562.44	$562.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.31 / $611.79 / $956.84	Professional		$467.31	$611.79	$956.84
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 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.66 / $561.60 / $936.68	Professional		$392.66	$561.60	$936.68