Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $449.68 / $727.82 / $8,229.00	Facility		$449.68	$727.82	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $449.68 / $515.00 / $667.44	Professional		$449.68	$515.00	$667.44
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 $418.00 / $508.98 / $616.39	Professional		$418.00	$508.98	$616.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $435.98 / $595.20 / $686.60	Facility		$435.98	$595.20	$686.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $460.44 / $595.20 / $850.28	Professional		$460.44	$595.20	$850.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $523.29 / $523.29	Facility		$523.29	$523.29	$523.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $479.58 / $671.82 / $1,266.92	Professional		$479.58	$671.82	$1,266.92
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 $465.25 / $777.78 / $976.54	Professional		$465.25	$777.78	$976.54