Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.34 / $2,889.00 / $9,128.46	Facility		$426.34	$2,889.00	$9,128.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.95 / $418.64 / $655.96	Professional		$347.95	$418.64	$655.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $4,551.00 / $8,800.00	Facility		$2,088.00	$4,551.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.92 / $399.79 / $550.20	Professional		$329.92	$399.79	$550.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $325.95 / $456.34 / $537.83	Facility		$325.95	$456.34	$537.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $423.75 / $537.83	Professional		$325.95	$423.75	$537.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $358.98 / $399.72 / $399.72	Facility		$358.98	$399.72	$399.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.22 / $507.69 / $834.94	Professional		$344.22	$507.69	$834.94
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 $341.77 / $501.49 / $696.80	Professional		$341.77	$501.49	$696.80