Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.39 / $787.00 / $8,229.00	Facility		$433.39	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.60 / $433.39 / $498.14	Professional		$405.60	$433.39	$498.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.32 / $540.10 / $712.74	Professional		$436.32	$540.10	$712.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $496.98 / $674.88 / $778.53	Facility		$496.98	$674.88	$778.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $471.21 / $674.88 / $964.12	Professional		$471.21	$674.88	$964.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $594.97 / $594.97 / $594.97	Facility		$594.97	$594.97	$594.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.81 / $637.10 / $987.84	Professional		$495.81	$637.10	$987.84
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.32 / $639.28 / $1,082.58	Professional		$431.32	$639.28	$1,082.58