Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.88 / $637.00 / $8,229.00	Facility		$452.88	$637.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.41 / $452.88 / $557.51	Professional		$442.41	$452.88	$557.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,990.00 / $9,565.00 / $11,253.00	Facility		$7,990.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.19 / $516.45 / $767.92	Professional		$426.19	$516.45	$767.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $450.66 / $614.30 / $708.64	Facility		$450.66	$614.30	$708.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.92 / $614.30 / $877.58	Professional		$428.92	$614.30	$877.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $540.50 / $540.50 / $758.97	Facility		$540.50	$540.50	$758.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.73 / $681.98 / $1,048.52	Professional		$495.73	$681.98	$1,048.52
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 $420.56 / $649.96 / $937.99	Professional		$420.56	$649.96	$937.99