Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.91 / $787.00 / $9,311.00	Facility		$462.91	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.91 / $478.80 / $569.73	Professional		$462.91	$478.80	$569.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $401.81 / $495.07 / $685.60	Professional		$401.81	$495.07	$685.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.05 / $609.46 / $703.06	Facility		$445.05	$609.46	$703.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.33 / $609.46 / $870.66	Professional		$435.33	$609.46	$870.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.78 / $535.19 / $535.19	Facility		$468.78	$535.19	$535.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.57 / $657.88 / $1,006.27	Professional		$455.57	$657.88	$1,006.27
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $428.17 / $626.94 / $917.59	Professional		$428.17	$626.94	$917.59