Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $860.00 / $8,229.00	Facility		$407.50	$860.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.50 / $425.55 / $468.86	Professional		$407.50	$425.55	$468.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,410.00 / $14,034.00	Facility		$3,565.00	$6,410.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $452.90 / $583.22	Professional		$373.75	$452.90	$583.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $407.50 / $558.19 / $643.91	Facility		$407.50	$558.19	$643.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $458.52 / $558.19 / $897.10	Professional		$458.52	$558.19	$897.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.78 / $489.60 / $489.60	Facility		$394.78	$489.60	$489.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.81 / $570.49 / $914.72	Professional		$412.81	$570.49	$914.72
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 $973.00 / $4,639.00 / $12,296.00	Facility		$973.00	$4,639.00	$12,296.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.96 / $573.54 / $806.49	Professional		$385.96	$573.54	$806.49