Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $429.06 / $787.00 / $8,229.00	Facility		$429.06	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.28 / $471.50 / $495.98	Professional		$406.28	$471.50	$495.98
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 $383.26 / $464.43 / $691.75	Professional		$383.26	$464.43	$691.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $509.22 / $645.16 / $744.25	Facility		$509.22	$645.16	$744.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $529.95 / $645.16 / $921.66	Professional		$529.95	$645.16	$921.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.59 / $563.92 / $563.92	Facility		$457.59	$563.92	$563.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.39 / $621.26 / $958.57	Professional		$468.39	$621.26	$958.57
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 $434.79 / $645.44 / $932.98	Professional		$434.79	$645.44	$932.98