Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $439.02 / $787.00 / $8,229.00	Facility		$439.02	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.02 / $503.09 / $650.84	Professional		$439.02	$503.09	$650.84
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 $509.76 / $599.72 / $829.43	Professional		$509.76	$599.72	$829.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $422.53 / $579.95 / $669.01	Facility		$422.53	$579.95	$669.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $404.93 / $579.95 / $828.50	Professional		$404.93	$579.95	$828.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.19 / $510.19 / $510.19	Facility		$510.19	$510.19	$510.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.23 / $869.24 / $1,635.95	Professional		$467.23	$869.24	$1,635.95
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 $619.88 / $999.15 / $1,298.19	Professional		$619.88	$999.15	$1,298.19