Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.64 / $796.91 / $8,229.00	Facility		$447.64	$796.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $447.64 / $520.03 / $796.91	Professional		$447.64	$520.03	$796.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,516.00 / $10,990.10 / $30,856.09	Facility		$4,516.00	$10,990.10	$30,856.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.03 / $603.19 / $837.67	Professional		$509.03	$603.19	$837.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $466.70 / $691.10 / $797.22	Facility		$466.70	$691.10	$797.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.64 / $691.10 / $987.28	Professional		$493.64	$691.10	$987.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $607.54 / $607.54 / $784.71	Facility		$607.54	$607.54	$784.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $555.04 / $794.39 / $1,172.14	Professional		$555.04	$794.39	$1,172.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $641.73	Professional		$32.34	$32.34	$641.73
United Facility/Professional Facility Modifier Low / Median / High Price $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $536.22 / $756.55 / $1,218.30	Professional		$536.22	$756.55	$1,218.30