Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $390.61 / $787.00 / $8,229.00	Facility		$390.61	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.61 / $404.13 / $480.75	Professional		$390.61	$404.13	$480.75
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 $346.62 / $420.02 / $598.19	Professional		$346.62	$420.02	$598.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $376.42 / $515.40 / $594.54	Facility		$376.42	$515.40	$594.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $368.14 / $515.40 / $736.28	Professional		$368.14	$515.40	$736.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $401.20 / $450.74 / $450.74	Facility		$401.20	$450.74	$450.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $545.49 / $882.78	Professional		$383.61	$545.49	$882.78
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 $382.63 / $553.55 / $756.99	Professional		$382.63	$553.55	$756.99