Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.71 / $787.00 / $8,229.00	Facility		$445.71	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.71 / $461.10 / $570.39	Professional		$445.71	$461.10	$570.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.38 / $483.96 / $668.70	Professional		$399.38	$483.96	$668.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.08 / $586.49 / $676.55	Facility		$428.08	$586.49	$676.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $409.49 / $586.49 / $837.84	Professional		$409.49	$586.49	$837.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $480.27 / $514.57 / $514.57	Facility		$480.27	$514.57	$514.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.52 / $630.21 / $977.19	Professional		$437.52	$630.21	$977.19
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 $739.00 / $3,853.00 / $8,582.00	Facility		$739.00	$3,853.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.10 / $606.09 / $886.85	Professional		$432.10	$606.09	$886.85