Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.99 / $637.00 / $8,229.00	Facility		$397.99	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.44 / $411.47 / $542.49	Professional		$385.44	$411.47	$542.49
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 $311.32 / $377.25 / $576.10	Professional		$311.32	$377.25	$576.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.79 / $537.75 / $620.33	Facility		$391.79	$537.75	$620.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $375.47 / $537.75 / $768.22	Professional		$375.47	$537.75	$768.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.42 / $472.42 / $472.42	Facility		$472.42	$472.42	$472.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.77 / $511.00 / $790.01	Professional		$391.77	$511.00	$790.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $422.52	Professional		$32.34	$32.34	$422.52
United Facility/Professional Facility Modifier Low / Median / High Price $575.00 / $945.00 / $6,295.00	Facility		$575.00	$945.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $382.82 / $477.74 / $816.07	Professional		$382.82	$477.74	$816.07