Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.81 / $787.00 / $8,229.00	Facility		$457.81	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.81 / $471.69 / $563.46	Professional		$457.81	$471.69	$563.46
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 $424.89 / $511.48 / $717.90	Professional		$424.89	$511.48	$717.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $437.54 / $600.55 / $692.78	Facility		$437.54	$600.55	$692.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.32 / $600.55 / $857.94	Professional		$493.32	$600.55	$857.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $471.91 / $526.97 / $526.97	Facility		$471.91	$526.97	$526.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $453.35 / $663.63 / $1,012.74	Professional		$453.35	$663.63	$1,012.74
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 $451.77 / $648.77 / $918.15	Professional		$451.77	$648.77	$918.15