Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.24 / $637.00 / $8,229.00	Facility		$375.24	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.14 / $412.36 / $437.33	Professional		$366.14	$412.36	$437.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $3,498.00 / $8,517.00	Facility		$1,643.00	$3,498.00	$8,517.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.88 / $414.29 / $583.25	Professional		$341.88	$414.29	$583.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $405.77 / $553.71 / $638.74	Facility		$405.77	$553.71	$638.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $386.61 / $553.71 / $791.02	Professional		$386.61	$553.71	$791.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.18 / $491.63 / $491.63	Facility		$406.18	$491.63	$491.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.18 / $544.63 / $868.10	Professional		$411.18	$544.63	$868.10
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 $367.25 / $589.32 / $841.47	Professional		$367.25	$589.32	$841.47