Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $612.84 / $782.74 / $8,229.00	Facility		$612.84	$782.74	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $579.50 / $630.50 / $782.74	Professional		$579.50	$630.50	$782.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,640.07 / $8,584.00 / $14,007.86	Facility		$4,640.07	$8,584.00	$14,007.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.71 / $632.19 / $916.20	Professional		$521.71	$632.19	$916.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $598.72 / $821.77 / $947.97	Facility		$598.72	$821.77	$947.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $586.98 / $821.77 / $1,173.96	Professional		$586.98	$821.77	$1,173.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $723.86 / $723.86 / $723.86	Facility		$723.86	$723.86	$723.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $618.50 / $829.74 / $1,237.45	Professional		$618.50	$829.74	$1,237.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $645.67	Professional		$32.34	$32.34	$645.67
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $565.47 / $795.01 / $1,249.66	Professional		$565.47	$795.01	$1,249.66