Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.34 / $787.00 / $9,311.00	Facility		$408.34	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.34 / $442.64 / $564.26	Professional		$408.34	$442.64	$564.26
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 $376.64 / $456.40 / $591.40	Professional		$376.64	$456.40	$591.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.06 / $558.94 / $644.77	Facility		$408.06	$558.94	$644.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.62 / $558.94 / $898.29	Professional		$436.62	$558.94	$898.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.88 / $490.25 / $490.25	Facility		$411.88	$490.25	$490.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $414.03 / $592.95 / $921.35	Professional		$414.03	$592.95	$921.35
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 $387.66 / $564.70 / $808.65	Professional		$387.66	$564.70	$808.65