Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $425.35 / $637.00 / $8,229.00	Facility		$425.35	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $419.87 / $467.41 / $505.44	Professional		$419.87	$467.41	$505.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.08 / $489.65 / $663.35	Professional		$404.08	$489.65	$663.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $464.68 / $635.85 / $733.50	Facility		$464.68	$635.85	$733.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $443.96 / $635.85 / $908.36	Professional		$443.96	$635.85	$908.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $492.07 / $560.21 / $560.21	Facility		$492.07	$560.21	$560.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $626.85 / $982.77	Professional		$475.33	$626.85	$982.77
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 $842.00 / $4,539.00 / $10,113.00	Facility		$842.00	$4,539.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $434.05 / $639.27 / $945.27	Professional		$434.05	$639.27	$945.27