Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.82 / $649.40 / $8,229.00	Facility		$457.82	$649.40	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.82 / $525.25 / $681.99	Professional		$457.82	$525.25	$681.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $2,670.47 / $11,253.00	Facility		$884.58	$2,670.47	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.96 / $541.76 / $766.36	Professional		$453.96	$541.76	$766.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $500.99 / $611.23 / $705.09	Facility		$500.99	$611.23	$705.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.59 / $611.23 / $873.18	Professional		$436.59	$611.23	$873.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.05 / $537.05 / $774.93	Facility		$537.05	$537.05	$774.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.64 / $697.46 / $1,112.45	Professional		$545.64	$697.46	$1,112.45
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 $477.03 / $699.84 / $990.06	Professional		$477.03	$699.84	$990.06