Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.06 / $787.00 / $8,229.00	Facility		$355.06	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.70 / $355.06 / $408.11	Professional		$333.70	$355.06	$408.11
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 $338.69 / $410.41 / $571.96	Professional		$338.69	$410.41	$571.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.93 / $551.80 / $636.55	Facility		$406.93	$551.80	$636.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.28 / $551.80 / $788.30	Professional		$385.28	$551.80	$788.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $439.18 / $488.14 / $488.14	Facility		$439.18	$488.14	$488.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.01 / $518.40 / $851.72	Professional		$408.01	$518.40	$851.72
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 $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 $349.76 / $491.01 / $737.80	Professional		$349.76	$491.01	$737.80