Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $860.00 / $8,229.00	Facility		$400.00	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.68 / $435.51 / $557.26	Professional		$385.68	$435.51	$557.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $362.96 / $574.98	Professional		$299.52	$362.96	$574.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $410.69 / $563.67 / $650.26	Facility		$410.69	$563.67	$650.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $393.57 / $563.67 / $805.26	Professional		$393.57	$563.67	$805.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $509.64 / $509.64	Facility		$509.64	$509.64	$509.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.47 / $522.67 / $805.63	Professional		$371.47	$522.67	$805.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $442.89	Professional		$32.34	$32.34	$442.89
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.51 / $533.35 / $856.63	Professional		$382.51	$533.35	$856.63