Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.89 / $787.00 / $8,229.00	Facility		$464.89	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $464.89 / $532.04 / $701.01	Professional		$464.89	$532.04	$701.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,967.00 / $8,800.00	Facility		$2,088.00	$3,967.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $399.57 / $484.19 / $671.98	Professional		$399.57	$484.19	$671.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $455.57 / $619.91 / $715.10	Facility		$455.57	$619.91	$715.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.83 / $619.91 / $885.58	Professional		$432.83	$619.91	$885.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.74 / $544.36 / $544.36	Facility		$517.74	$544.36	$544.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.13 / $640.16 / $1,011.17	Professional		$501.13	$640.16	$1,011.17
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 $739.00 / $3,828.00 / $11,156.00	Facility		$739.00	$3,828.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.57 / $667.21 / $936.44	Professional		$459.57	$667.21	$936.44