Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.54 / $637.00 / $8,229.00	Facility		$488.54	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $465.68 / $502.06 / $623.98	Professional		$465.68	$502.06	$623.98
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 $434.93 / $527.04 / $709.18	Professional		$434.93	$527.04	$709.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $476.57 / $654.11 / $754.57	Facility		$476.57	$654.11	$754.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $467.22 / $654.11 / $934.44	Professional		$467.22	$654.11	$934.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $576.29 / $576.29 / $576.29	Facility		$576.29	$576.29	$576.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.24 / $632.79 / $980.27	Professional		$480.24	$632.79	$980.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $513.94	Professional		$32.34	$32.34	$513.94
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 $482.87 / $654.99 / $975.68	Professional		$482.87	$654.99	$975.68