Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.20 / $787.00 / $8,229.00	Facility		$474.20	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.20 / $495.24 / $610.91	Professional		$474.20	$495.24	$610.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $448.47 / $543.45 / $772.30	Professional		$448.47	$543.45	$772.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $472.81 / $648.96 / $748.62	Facility		$472.81	$648.96	$748.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $453.11 / $648.96 / $927.08	Professional		$453.11	$648.96	$927.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.25 / $569.66 / $569.66	Facility		$526.25	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.02 / $663.24 / $1,073.53	Professional		$484.02	$663.24	$1,073.53
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 $483.98 / $688.20 / $941.70	Professional		$483.98	$688.20	$941.70