Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.09 / $462.96 / $566.08	Facility		$363.09	$462.96	$566.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $349.87 / $448.84 / $744.93	Professional		$349.87	$448.84	$744.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.51 / $532.61 / $657.62	Professional		$340.51	$532.61	$657.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $402.85 / $563.99 / $664.70	Facility		$402.85	$563.99	$664.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $514.62 / $643.28 / $792.51	Professional		$514.62	$643.28	$792.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $466.59 / $741.24 / $741.24	Facility		$466.59	$741.24	$741.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.79 / $534.46 / $947.40	Professional		$376.79	$534.46	$947.40
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $384.39 / $529.84 / $895.40	Professional		$384.39	$529.84	$895.40