Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.83 / $860.00 / $8,229.00	Facility		$442.83	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.38 / $478.99 / $2,763.49	Professional		$441.38	$478.99	$2,763.49
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 / $560.04	Professional		$286.02	$342.22	$560.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $454.10 / $623.28 / $719.00	Facility		$454.10	$623.28	$719.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.18 / $623.28 / $890.40	Professional		$435.18	$623.28	$890.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.70 / $547.70 / $547.70	Facility		$547.70	$547.70	$547.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $422.50 / $595.04 / $2,288.78	Professional		$422.50	$595.04	$2,288.78
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 $370.64 / $582.79 / $743.23	Professional		$370.64	$582.79	$743.23