Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $494.60 / $787.00 / $8,229.00	Facility		$494.60	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $494.60 / $566.71 / $733.71	Professional		$494.60	$566.71	$733.71
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 $468.21 / $557.04 / $688.02	Professional		$468.21	$557.04	$688.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.48 / $653.29 / $753.62	Facility		$478.48	$653.29	$753.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $456.14 / $653.29 / $933.28	Professional		$456.14	$653.29	$933.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.54 / $574.54 / $574.54	Facility		$574.54	$574.54	$574.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.33 / $736.67 / $1,387.25	Professional		$526.33	$736.67	$1,387.25
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 $510.85 / $851.25 / $1,072.35	Professional		$510.85	$851.25	$1,072.35