Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.92 / $787.00 / $8,229.00	Facility		$397.92	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.79 / $437.28 / $688.71	Professional		$393.79	$437.28	$688.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.11 / $429.10 / $619.39	Professional		$354.11	$429.10	$619.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $431.18 / $588.42 / $678.79	Facility		$431.18	$588.42	$678.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $410.85 / $588.42 / $840.62	Professional		$410.85	$588.42	$840.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $431.94 / $521.17 / $521.17	Facility		$431.94	$521.17	$521.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.32 / $576.29 / $919.61	Professional		$434.32	$576.29	$919.61
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 $389.19 / $601.11 / $866.47	Professional		$389.19	$601.11	$866.47