Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.29 / $787.00 / $8,229.00	Facility		$479.29	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $479.29 / $495.78 / $605.29	Professional		$479.29	$495.78	$605.29
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 $429.94 / $520.99 / $712.00	Professional		$429.94	$520.99	$712.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $461.23 / $631.86 / $728.90	Facility		$461.23	$631.86	$728.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $441.18 / $631.86 / $902.66	Professional		$441.18	$631.86	$902.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.66 / $553.86 / $553.86	Facility		$509.66	$553.86	$553.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.83 / $671.02 / $1,042.72	Professional		$470.83	$671.02	$1,042.72
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 $467.43 / $680.81 / $945.96	Professional		$467.43	$680.81	$945.96