Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.89 / $749.26 / $8,229.00	Facility		$412.89	$749.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $597.50 / $749.26	Professional		$412.89	$597.50	$749.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $327.33 / $481.22	Professional		$222.49	$327.33	$481.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $482.83 / $662.70 / $764.48	Facility		$482.83	$662.70	$764.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $521.08 / $662.70 / $1,065.06	Professional		$521.08	$662.70	$1,065.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $730.78 / $730.78 / $730.78	Facility		$730.78	$730.78	$730.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.04 / $796.77 / $3,269.45	Professional		$520.04	$796.77	$3,269.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $50.70 / $100.00	Professional		$45.00	$50.70	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $999.00 / $2,925.00 / $15,387.00	Facility		$999.00	$2,925.00	$15,387.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.13 / $592.90 / $1,599.53	Professional		$330.13	$592.90	$1,599.53