Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.92 / $449.37 / $8,229.00	Facility		$404.92	$449.37	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $431.74 / $490.22 / $631.85	Professional		$431.74	$490.22	$631.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,503.33 / $8,650.50 / $13,595.06	Facility		$4,503.33	$8,650.50	$13,595.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $408.52 / $486.81 / $657.94	Professional		$408.52	$486.81	$657.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.00 / $571.92 / $659.76	Facility		$419.00	$571.92	$659.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.33 / $571.92 / $817.04	Professional		$448.33	$571.92	$817.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.10 / $503.10 / $503.10	Facility		$503.10	$503.10	$503.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $529.11 / $628.82 / $1,011.54	Professional		$529.11	$628.82	$1,011.54
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 $444.33 / $634.97 / $932.55	Professional		$444.33	$634.97	$932.55