Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $497.02 / $787.00 / $8,229.00	Facility		$497.02	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.02 / $519.37 / $605.29	Professional		$497.02	$519.37	$605.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,930.93 / $5,630.06 / $11,253.00	Facility		$2,930.93	$5,630.06	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.89 / $536.67 / $728.40	Professional		$442.89	$536.67	$728.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.13 / $679.59 / $783.96	Facility		$496.13	$679.59	$783.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $551.61 / $679.59 / $970.84	Professional		$551.61	$679.59	$970.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.66 / $596.69 / $596.69	Facility		$509.66	$596.69	$596.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.53 / $694.58 / $1,107.23	Professional		$507.53	$694.58	$1,107.23
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.18 / $679.64 / $1,016.41	Professional		$459.18	$679.64	$1,016.41