Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.89 / $701.62 / $8,229.00	Facility		$412.89	$701.62	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.89 / $567.71 / $701.62	Professional		$412.89	$567.71	$701.62
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 $181.45 / $390.03 / $573.38	Professional		$181.45	$390.03	$573.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $480.66 / $659.74 / $895.36	Facility		$480.66	$659.74	$895.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $518.74 / $659.74 / $1,060.29	Professional		$518.74	$659.74	$1,060.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $649.17 / $649.17 / $649.17	Facility		$649.17	$649.17	$649.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.28 / $733.72 / $3,057.37	Professional		$487.28	$733.72	$3,057.37
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 $719.00 / $1,298.00 / $10,113.00	Facility		$719.00	$1,298.00	$10,113.00
United Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $578.40 / $1,752.55	Professional		$364.39	$578.40	$1,752.55