Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.51 / $787.00 / $9,311.00	Facility		$392.51	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.51 / $409.85 / $504.49	Professional		$392.51	$409.85	$504.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.29 / $447.50 / $627.40	Professional		$369.29	$447.50	$627.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $392.04 / $538.09 / $620.73	Facility		$392.04	$538.09	$620.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $422.79 / $538.09 / $768.70	Professional		$422.79	$538.09	$768.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $463.92 / $471.48 / $471.48	Facility		$463.92	$471.48	$471.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.29 / $568.54 / $894.38	Professional		$401.29	$568.54	$894.38
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 $365.42 / $553.57 / $806.63	Professional		$365.42	$553.57	$806.63