Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.50 / $787.00 / $9,311.00	Facility		$429.50	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $429.50 / $465.85 / $593.01	Professional		$429.50	$465.85	$593.01
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 $399.67 / $484.32 / $630.88	Professional		$399.67	$484.32	$630.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.51 / $588.14 / $678.47	Facility		$428.51	$588.14	$678.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.24 / $588.14 / $840.20	Professional		$477.24	$588.14	$840.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.37 / $516.02 / $516.02	Facility		$435.37	$516.02	$516.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.28 / $627.34 / $971.91	Professional		$436.28	$627.34	$971.91
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 $411.98 / $613.32 / $853.07	Professional		$411.98	$613.32	$853.07