Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $385.60 / $787.00 / $8,229.00	Facility		$385.60	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.46 / $385.60 / $481.20	Professional		$366.46	$385.60	$481.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.79 / $8,584.00 / $13,733.40	Facility		$4,149.79	$8,584.00	$13,733.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.03 / $449.61 / $623.54	Professional		$371.03	$449.61	$623.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $440.26 / $597.16 / $688.86	Facility		$440.26	$597.16	$688.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $490.52 / $597.16 / $853.08	Professional		$490.52	$597.16	$853.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $474.19 / $529.58 / $529.58	Facility		$474.19	$529.58	$529.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $442.25 / $594.87 / $931.93	Professional		$442.25	$594.87	$931.93
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 $380.69 / $571.04 / $872.13	Professional		$380.69	$571.04	$872.13