Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.90 / $787.00 / $8,229.00	Facility		$436.90	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.94 / $571.57 / $771.63	Professional		$424.94	$571.57	$771.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $394.96 / $580.92	Professional		$325.94	$394.96	$580.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $385.10 / $541.25 / $618.58	Facility		$385.10	$541.25	$618.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $423.76 / $545.12 / $869.87	Professional		$423.76	$545.12	$869.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.39 / $711.36 / $1,117.44	Facility		$413.39	$711.36	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.32 / $591.15 / $2,001.89	Professional		$380.32	$591.15	$2,001.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $334.11	Professional		$32.34	$32.34	$334.11
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 $446.75 / $637.88 / $1,028.85	Professional		$446.75	$637.88	$1,028.85