Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.11 / $787.00 / $8,229.00	Facility		$404.11	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.79 / $417.46 / $519.85	Professional		$388.79	$417.46	$519.85
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 $354.45 / $429.51 / $615.65	Professional		$354.45	$429.51	$615.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.10 / $536.79 / $619.25	Facility		$391.10	$536.79	$619.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $374.80 / $536.79 / $766.86	Professional		$374.80	$536.79	$766.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $474.19 / $474.19	Facility		$474.19	$474.19	$474.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $403.92 / $549.45 / $850.31	Professional		$403.92	$549.45	$850.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $421.77	Professional		$32.34	$32.34	$421.77
United Facility/Professional Facility Modifier Low / Median / High Price $830.00 / $2,600.00 / $12,296.00	Facility		$830.00	$2,600.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $393.10 / $530.45 / $870.84	Professional		$393.10	$530.45	$870.84