Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.17 / $637.00 / $8,229.00	Facility		$473.17	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.95 / $489.94 / $604.35	Professional		$457.95	$489.94	$604.35
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 $421.02 / $510.18 / $701.33	Professional		$421.02	$510.18	$701.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.14 / $628.80 / $725.38	Facility		$458.14	$628.80	$725.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $439.04 / $628.80 / $898.30	Professional		$439.04	$628.80	$898.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.49 / $558.49 / $558.49	Facility		$558.49	$558.49	$558.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.37 / $624.29 / $978.25	Professional		$477.37	$624.29	$978.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $494.07	Professional		$32.34	$32.34	$494.07
United Facility/Professional Facility Modifier Low / Median / High Price $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.96 / $633.73 / $970.81	Professional		$472.96	$633.73	$970.81