Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.70 / $698.17 / $8,229.00	Facility		$529.70	$698.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $497.50 / $565.13 / $698.17	Professional		$497.50	$565.13	$698.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,923.72 / $7,537.12 / $11,845.28	Facility		$3,923.72	$7,537.12	$11,845.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.15 / $471.56 / $740.88	Professional		$389.15	$471.56	$740.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $538.49 / $739.10 / $852.61	Facility		$538.49	$739.10	$852.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $580.72 / $739.10 / $1,055.85	Professional		$580.72	$739.10	$1,055.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $650.60	Facility		$650.60	$650.60	$650.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $511.07 / $640.17 / $985.24	Professional		$511.07	$640.17	$985.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $580.72	Professional		$32.34	$32.34	$580.72
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 $479.16 / $630.44 / $1,074.82	Professional		$479.16	$630.44	$1,074.82