Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.28 / $705.99 / $8,229.00	Facility		$435.28	$705.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.28 / $497.57 / $655.16	Professional		$435.28	$497.57	$655.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $442.29 / $548.57 / $634.80	Professional		$442.29	$548.57	$634.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.52 / $579.94 / $668.99	Facility		$422.52	$579.94	$668.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $455.39 / $579.94 / $828.48	Professional		$455.39	$579.94	$828.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.80 / $509.80 / $509.80	Facility		$509.80	$509.80	$509.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.16 / $676.52 / $1,236.94	Professional		$468.16	$676.52	$1,236.94
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 $1,600.00 / $13,184.00 / $81,029.00	Facility		$1,600.00	$13,184.00	$81,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $487.90 / $752.22 / $945.50	Professional		$487.90	$752.22	$945.50