Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $455.26 / $860.00 / $8,229.00	Facility		$455.26	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.91 / $494.02 / $6,249.99	Professional		$454.91	$494.02	$6,249.99
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 $467.69 / $641.92 / $740.51	Facility		$467.69	$641.92	$740.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.20 / $641.92 / $917.04	Professional		$448.20	$641.92	$917.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $564.91 / $564.91 / $564.91	Facility		$564.91	$564.91	$564.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.98 / $613.70 / $2,360.50	Professional		$434.98	$613.70	$2,360.50
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 $388.70 / $582.79 / $726.32	Professional		$388.70	$582.79	$726.32