Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.91 / $787.00 / $9,311.00	Facility		$361.91	$787.00	$9,311.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.91 / $415.49 / $547.52	Professional		$361.91	$415.49	$547.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.40 / $420.62 / $580.29	Professional		$351.40	$420.62	$580.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $355.63 / $484.26 / $558.64	Facility		$355.63	$484.26	$558.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.90 / $484.26 / $691.80	Professional		$345.90	$484.26	$691.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $425.40 / $425.40 / $536.29	Facility		$425.40	$425.40	$536.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $452.69 / $549.41 / $849.24	Professional		$452.69	$549.41	$849.24
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.05 / $525.16 / $773.54	Professional		$374.05	$525.16	$773.54