Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.18 / $654.03 / $8,229.00	Facility		$347.18	$654.03	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $335.78 / $357.83 / $654.03	Professional		$335.78	$357.83	$654.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $286.02 / $342.22 / $557.55	Professional		$286.02	$342.22	$557.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $351.62 / $458.43 / $100,236.50	Facility		$351.62	$458.43	$100,236.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $311.05 / $445.49 / $674.93	Professional		$311.05	$445.49	$674.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $413.28 / $413.28 / $413.28	Facility		$413.28	$413.28	$413.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $458.74 / $1,886.50	Professional		$331.18	$458.74	$1,886.50
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 $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 $312.30 / $489.63 / $696.15	Professional		$312.30	$489.63	$696.15