Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.97 / $632.48 / $8,229.00	Facility		$325.97	$632.48	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $325.97 / $375.64 / $477.39	Professional		$325.97	$375.64	$477.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $428.85 / $531.94 / $759.10	Professional		$428.85	$531.94	$759.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $317.20 / $432.99 / $499.49	Facility		$317.20	$432.99	$499.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $339.40 / $432.99 / $618.55	Professional		$339.40	$432.99	$618.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.89 / $380.89 / $754.74	Facility		$380.89	$380.89	$754.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.25 / $655.73 / $1,085.83	Professional		$411.25	$655.73	$1,085.83
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 $411.25 / $692.78 / $926.48	Professional		$411.25	$692.78	$926.48