Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.17 / $787.00 / $8,229.00	Facility		$451.17	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $451.17 / $466.57 / $603.37	Professional		$451.17	$466.57	$603.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.39 / $490.03 / $638.00	Professional		$404.39	$490.03	$638.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $433.48 / $593.91 / $685.14	Facility		$433.48	$593.91	$685.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $487.86 / $593.91 / $848.46	Professional		$487.86	$593.91	$848.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $477.33 / $521.48 / $521.48	Facility		$477.33	$521.48	$521.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.37 / $606.87 / $982.42	Professional		$443.37	$606.87	$982.42
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 $439.71 / $602.45 / $890.96	Professional		$439.71	$602.45	$890.96