Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.53 / $787.00 / $9,311.00	Facility		$466.53	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.53 / $505.66 / $643.66	Professional		$466.53	$505.66	$643.66
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 $432.98 / $524.66 / $697.20	Professional		$432.98	$524.66	$697.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $465.31 / $638.66 / $736.74	Facility		$465.31	$638.66	$736.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.19 / $638.66 / $912.38	Professional		$456.19	$638.66	$912.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.60 / $560.23 / $560.23	Facility		$486.60	$560.23	$560.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $476.13 / $684.13 / $1,055.47	Professional		$476.13	$684.13	$1,055.47
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 / $3,853.00 / $8,582.00	Facility		$739.00	$3,853.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $440.04 / $644.07 / $959.07	Professional		$440.04	$644.07	$959.07