Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $474.80 / $720.94 / $8,229.00	Facility		$474.80	$720.94	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $474.80 / $543.87 / $704.55	Professional		$474.80	$543.87	$704.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.30 / $487.12 / $600.07	Professional		$422.30	$487.12	$600.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.62 / $627.54 / $723.90	Facility		$459.62	$627.54	$723.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.24 / $627.54 / $896.48	Professional		$448.24	$627.54	$896.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $552.54 / $552.54 / $552.54	Facility		$552.54	$552.54	$552.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $505.58 / $694.60 / $1,253.26	Professional		$505.58	$694.60	$1,253.26
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 $490.28 / $753.67 / $1,015.54	Professional		$490.28	$753.67	$1,015.54