Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.73 / $604.30 / $10,647.00	Facility		$412.73	$604.30	$10,647.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.73 / $472.22 / $614.70	Professional		$412.73	$472.22	$614.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,350.00 / $16,225.70 / $48,983.60	Facility		$5,350.00	$16,225.70	$48,983.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.98 / $336.45 / $426.25	Professional		$285.98	$336.45	$426.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.58 / $546.73 / $630.69	Facility		$400.58	$546.73	$630.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $428.62 / $546.73 / $781.04	Professional		$428.62	$546.73	$781.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.96 / $481.96 / $481.96	Facility		$481.96	$481.96	$481.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $440.64 / $592.05 / $1,080.34	Professional		$440.64	$592.05	$1,080.34
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $425.48 / $664.02 / $877.51	Professional		$425.48	$664.02	$877.51