Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $418.95 / $787.00 / $8,229.00	Facility		$418.95	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.95 / $433.36 / $528.55	Professional		$418.95	$433.36	$528.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $377.57 / $457.53 / $617.29	Professional		$377.57	$457.53	$617.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.69 / $551.55 / $636.25	Facility		$402.69	$551.55	$636.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $433.37 / $551.55 / $787.94	Professional		$433.37	$551.55	$787.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.06 / $483.74 / $483.74	Facility		$445.06	$483.74	$483.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.51 / $570.91 / $912.94	Professional		$411.51	$570.91	$912.94
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 $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 $407.52 / $579.39 / $824.06	Professional		$407.52	$579.39	$824.06