Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.71 / $787.00 / $8,229.00	Facility		$428.71	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.71 / $447.66 / $552.79	Professional		$428.71	$447.66	$552.79
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 $409.16 / $495.81 / $694.83	Professional		$409.16	$495.81	$694.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $428.12 / $586.66 / $676.76	Facility		$428.12	$586.66	$676.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.91 / $586.66 / $838.10	Professional		$481.91	$586.66	$838.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.70 / $515.08 / $515.08	Facility		$510.70	$515.08	$515.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.77 / $628.45 / $970.11	Professional		$437.77	$628.45	$970.11
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 $429.89 / $621.91 / $881.42	Professional		$429.89	$621.91	$881.42