Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.15 / $612.00 / $8,229.00	Facility		$384.15	$612.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.15 / $439.99 / $578.73	Professional		$384.15	$439.99	$578.73
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 $280.83 / $330.41 / $512.11	Professional		$280.83	$330.41	$512.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.18 / $511.21 / $589.72	Facility		$375.18	$511.21	$589.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $356.93 / $511.21 / $730.30	Professional		$356.93	$511.21	$730.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $450.64 / $450.64	Facility		$450.64	$450.64	$450.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.70 / $559.86 / $1,003.62	Professional		$412.70	$559.86	$1,003.62
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 $395.08 / $611.29 / $809.97	Professional		$395.08	$611.29	$809.97