Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.81 / $787.00 / $8,229.00	Facility		$482.81	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $482.81 / $497.52 / $594.23	Professional		$482.81	$497.52	$594.23
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 $444.60 / $538.82 / $681.90	Professional		$444.60	$538.82	$681.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $460.75 / $632.41 / $729.52	Facility		$460.75	$632.41	$729.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $519.48 / $632.41 / $903.44	Professional		$519.48	$632.41	$903.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.31 / $555.42 / $555.42	Facility		$497.31	$555.42	$555.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.62 / $668.02 / $1,067.83	Professional		$477.62	$668.02	$1,067.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $459.20 / $683.02 / $967.43	Professional		$459.20	$683.02	$967.43