Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.46 / $637.00 / $8,229.00	Facility		$422.46	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.46 / $478.73 / $617.88	Professional		$422.46	$478.73	$617.88
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 $340.15 / $412.19 / $624.73	Professional		$340.15	$412.19	$624.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.48 / $623.78 / $719.59	Facility		$454.48	$623.78	$719.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.53 / $623.78 / $891.12	Professional		$435.53	$623.78	$891.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $548.30 / $548.30 / $548.30	Facility		$548.30	$548.30	$548.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.91 / $560.88 / $865.03	Professional		$451.91	$560.88	$865.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $490.12	Professional		$32.34	$32.34	$490.12
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 $425.00 / $538.87 / $903.85	Professional		$425.00	$538.87	$903.85