Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.25 / $642.47 / $8,229.00	Facility		$408.25	$642.47	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.25 / $467.80 / $605.61	Professional		$408.25	$467.80	$605.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.28 / $390.92 / $538.63	Professional		$332.28	$390.92	$538.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $396.03 / $540.54 / $623.55	Facility		$396.03	$540.54	$623.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.02 / $540.54 / $772.20	Professional		$444.02	$540.54	$772.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $473.98 / $473.98 / $473.98	Facility		$473.98	$473.98	$473.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.63 / $599.74 / $1,116.63	Professional		$435.63	$599.74	$1,116.63
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 $422.05 / $671.45 / $885.69	Professional		$422.05	$671.45	$885.69