Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.99 / $787.00 / $8,229.00	Facility		$478.99	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.99 / $495.46 / $596.29	Professional		$478.99	$495.46	$596.29
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 $430.24 / $521.36 / $711.00	Professional		$430.24	$521.36	$711.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.94 / $631.47 / $728.44	Facility		$460.94	$631.47	$728.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.71 / $631.47 / $902.10	Professional		$518.71	$631.47	$902.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $502.10 / $553.51 / $553.51	Facility		$502.10	$553.51	$553.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.52 / $670.13 / $1,044.74	Professional		$470.52	$670.13	$1,044.74
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 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $467.87 / $677.94 / $945.33	Professional		$467.87	$677.94	$945.33