Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.92 / $860.00 / $8,229.00	Facility		$379.92	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.92 / $437.81 / $556.39	Professional		$379.92	$437.81	$556.39
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 $499.71 / $587.90 / $845.82	Professional		$499.71	$587.90	$845.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.67 / $504.64 / $582.14	Facility		$369.67	$504.64	$582.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $352.35 / $504.64 / $720.92	Professional		$352.35	$504.64	$720.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $444.48 / $444.48 / $930.13	Facility		$444.48	$444.48	$930.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.52 / $817.78 / $1,362.32	Professional		$482.52	$817.78	$1,362.32
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 $499.73 / $799.68 / $1,101.48	Professional		$499.73	$799.68	$1,101.48