Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.85 / $551.55 / $8,229.00	Facility		$401.85	$551.55	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.85 / $462.01 / $593.61	Professional		$401.85	$462.01	$593.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.30 / $432.08 / $646.99	Professional		$366.30	$432.08	$646.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $389.98 / $531.89 / $613.57	Facility		$389.98	$531.89	$613.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.37 / $531.89 / $759.84	Professional		$371.37	$531.89	$759.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $468.84 / $468.84 / $468.84	Facility		$468.84	$468.84	$468.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $475.85 / $580.33 / $921.97	Professional		$475.85	$580.33	$921.97
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 $409.46 / $590.04 / $869.11	Professional		$409.46	$590.04	$869.11