Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $368.78 / $487.85 / $8,229.00	Facility		$368.78	$487.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.05 / $380.92 / $487.85	Professional		$348.05	$380.92	$487.85
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 $323.24 / $391.70 / $548.04	Professional		$323.24	$391.70	$548.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $360.98 / $495.46 / $571.55	Facility		$360.98	$495.46	$571.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $345.94 / $495.46 / $707.80	Professional		$345.94	$495.46	$707.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.58 / $434.58 / $434.58	Facility		$434.58	$434.58	$434.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.67 / $507.19 / $762.30	Professional		$372.67	$507.19	$762.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $389.29	Professional		$32.34	$32.34	$389.29
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 $355.90 / $483.09 / $753.55	Professional		$355.90	$483.09	$753.55