Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.77 / $679.70 / $8,229.00	Facility		$416.77	$679.70	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.77 / $538.86 / $679.70	Professional		$416.77	$538.86	$679.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,104.00 / $5,280.00 / $12,101.00	Facility		$3,104.00	$5,280.00	$12,101.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $461.93 / $710.62	Professional		$390.01	$461.93	$710.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.69 / $638.34 / $736.38	Facility		$450.69	$638.34	$736.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.96 / $639.48 / $911.92	Professional		$455.96	$639.48	$911.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $433.22 / $838.97 / $838.97	Facility		$433.22	$838.97	$838.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $513.79 / $766.42 / $1,152.08	Professional		$513.79	$766.42	$1,152.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $759.80	Professional		$32.34	$32.34	$759.80
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 $549.55 / $779.10 / $1,217.30	Professional		$549.55	$779.10	$1,217.30