Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.37 / $787.00 / $8,229.00	Facility		$558.37	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.37 / $639.14 / $831.22	Professional		$558.37	$639.14	$831.22
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 $376.15 / $455.82 / $579.15	Professional		$376.15	$455.82	$579.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.78 / $739.38 / $852.93	Facility		$541.78	$739.38	$852.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $516.25 / $739.38 / $1,056.26	Professional		$516.25	$739.38	$1,056.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $651.53 / $651.53 / $651.53	Facility		$651.53	$651.53	$651.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $595.96 / $802.11 / $1,471.93	Professional		$595.96	$802.11	$1,471.93
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 $578.39 / $901.52 / $1,154.56	Professional		$578.39	$901.52	$1,154.56