Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.29 / $716.87 / $8,229.00	Facility		$455.29	$716.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $521.49 / $675.65	Professional		$455.29	$521.49	$675.65
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 / $585.39	Professional		$332.28	$390.92	$585.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $439.34 / $603.02 / $695.63	Facility		$439.34	$603.02	$695.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $421.04 / $603.02 / $861.46	Professional		$421.04	$603.02	$861.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $529.46 / $529.46 / $529.46	Facility		$529.46	$529.46	$529.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.93 / $669.92 / $1,246.23	Professional		$485.93	$669.92	$1,246.23
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 $470.39 / $739.14 / $996.41	Professional		$470.39	$739.14	$996.41