Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.24 / $747.31 / $8,229.00	Facility		$346.24	$747.31	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.38 / $357.19 / $747.31	Professional		$343.38	$357.19	$747.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $272.86 / $405.53	Professional		$228.05	$272.86	$405.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.47 / $464.56 / $535.91	Facility		$338.47	$464.56	$535.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.36 / $464.56 / $746.62	Professional		$324.36	$464.56	$746.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.44 / $408.44 / $408.44	Facility		$408.44	$408.44	$408.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.85 / $443.85 / $1,707.20	Professional		$313.85	$443.85	$1,707.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $65.00	Professional		$45.00	$45.00	$65.00
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 $325.45 / $487.01 / $688.92	Professional		$325.45	$487.01	$688.92