Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.20 / $787.00 / $8,229.00	Facility		$551.20	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $551.20 / $570.22 / $678.39	Professional		$551.20	$570.22	$678.39
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 $493.90 / $598.49 / $798.80	Professional		$493.90	$598.49	$798.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $528.54 / $725.47 / $836.87	Facility		$528.54	$725.47	$836.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $595.91 / $725.47 / $1,036.38	Professional		$595.91	$725.47	$1,036.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.04 / $636.44 / $636.44	Facility		$562.04	$636.44	$636.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.05 / $747.15 / $1,195.20	Professional		$541.05	$747.15	$1,195.20
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 $539.70 / $765.30 / $1,093.88	Professional		$539.70	$765.30	$1,093.88