Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.12 / $860.00 / $8,229.00	Facility		$352.12	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.12 / $401.87 / $532.19	Professional		$352.12	$401.87	$532.19
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 $343.31 / $416.01 / $632.49	Professional		$343.31	$416.01	$632.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $336.11 / $457.86 / $528.16	Facility		$336.11	$457.86	$528.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $359.64 / $457.86 / $654.08	Professional		$359.64	$457.86	$654.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $411.55 / $411.55 / $707.07	Facility		$411.55	$411.55	$707.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.88 / $610.88 / $957.87	Professional		$426.88	$610.88	$957.87
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 $383.97 / $636.23 / $875.38	Professional		$383.97	$636.23	$875.38