Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.85 / $787.00 / $8,229.00	Facility		$464.85	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.85 / $478.00 / $572.12	Professional		$464.85	$478.00	$572.12
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 $428.16 / $518.83 / $733.20	Professional		$428.16	$518.83	$733.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $443.60 / $608.86 / $702.37	Facility		$443.60	$608.86	$702.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $425.11 / $608.86 / $978.53	Professional		$425.11	$608.86	$978.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $479.31 / $534.28 / $534.28	Facility		$479.31	$534.28	$534.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.37 / $674.29 / $1,028.07	Professional		$459.37	$674.29	$1,028.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.80 / $659.89 / $930.56	Professional		$457.80	$659.89	$930.56