Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.89 / $787.00 / $8,229.00	Facility		$325.89	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $303.39 / $325.89 / $374.60	Professional		$303.39	$325.89	$374.60
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 $308.04 / $373.28 / $535.90	Professional		$308.04	$373.28	$535.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $374.75 / $508.41 / $586.49	Facility		$374.75	$508.41	$586.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.15 / $508.41 / $726.30	Professional		$363.15	$508.41	$726.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.40 / $448.45 / $448.45	Facility		$419.40	$448.45	$448.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.79 / $486.78 / $740.80	Professional		$373.79	$486.78	$740.80
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 $346.46 / $461.84 / $793.53	Professional		$346.46	$461.84	$793.53