Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $400.17 / $787.00 / $8,229.00	Facility		$400.17	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.17 / $417.93 / $486.63	Professional		$400.17	$417.93	$486.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.00 / $454.29 / $620.37	Professional		$371.00	$454.29	$620.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.09 / $547.97 / $632.13	Facility		$400.09	$547.97	$632.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $391.41 / $547.97 / $782.82	Professional		$391.41	$547.97	$782.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $480.58 / $480.58	Facility		$409.75	$480.58	$480.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.87 / $560.13 / $904.84	Professional		$408.87	$560.13	$904.84
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 $389.61 / $559.38 / $794.33	Professional		$389.61	$559.38	$794.33