Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.37 / $787.00 / $8,229.00	Facility		$453.37	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.37 / $502.46 / $522.75	Professional		$453.37	$502.46	$522.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $420.66 / $509.75 / $738.90	Professional		$420.66	$509.75	$738.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $502.93 / $684.38 / $789.47	Facility		$502.93	$684.38	$789.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $488.84 / $684.38 / $1,099.89	Professional		$488.84	$684.38	$1,099.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $527.48 / $618.51 / $618.51	Facility		$527.48	$618.51	$618.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.39 / $698.45 / $1,104.80	Professional		$519.39	$698.45	$1,104.80
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 $445.49 / $641.80 / $1,055.46	Professional		$445.49	$641.80	$1,055.46