Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.70 / $612.00 / $8,229.00	Facility		$368.70	$612.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.70 / $419.78 / $558.21	Professional		$368.70	$419.78	$558.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,870.00	Facility		$8,584.00	$10,099.00	$11,870.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $357.54 / $521.91	Professional		$303.89	$357.54	$521.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $346.60 / $475.72 / $548.78	Facility		$346.60	$475.72	$548.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $373.61 / $475.72 / $679.60	Professional		$373.61	$475.72	$679.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $418.93 / $418.93 / $418.93	Facility		$418.93	$418.93	$418.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.08 / $540.04 / $978.63	Professional		$384.08	$540.04	$978.63
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 $3,000.00 / $28,160.00 / $81,029.00	Facility		$3,000.00	$28,160.00	$81,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.09 / $597.57 / $787.08	Professional		$390.09	$597.57	$787.08