Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.89 / $787.00 / $8,229.00	Facility		$417.89	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.06 / $439.59 / $645.09	Professional		$195.06	$439.59	$645.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,983.00 / $8,584.00 / $11,253.00	Facility		$4,983.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Professional		$0.02	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.77 / $231.64 / $267.22	Facility		$168.77	$231.64	$267.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.74 / $231.64 / $372.29	Professional		$161.74	$231.64	$372.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $435.04 / $435.04 / $435.04	Facility		$435.04	$435.04	$435.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.92 / $362.53 / $1,049.28	Professional		$186.92	$362.53	$1,049.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.42 / $936.56 / $1,283.38	Professional		$633.42	$936.56	$1,283.38