Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.48 / $559.39 / $8,229.00	Facility		$365.48	$559.39	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $365.48 / $472.93 / $590.29	Professional		$365.48	$472.93	$590.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.72 / $398.33 / $640.80	Professional		$328.72	$398.33	$640.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $368.70 / $505.12 / $582.69	Facility		$368.70	$505.12	$582.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.88 / $523.16 / $811.80	Professional		$396.88	$523.16	$811.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.45 / $663.87 / $663.87	Facility		$508.45	$663.87	$663.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.26 / $617.39 / $1,069.39	Professional		$420.26	$617.39	$1,069.39
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 $487.06 / $707.91 / $1,172.90	Professional		$487.06	$707.91	$1,172.90