Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.24 / $787.00 / $8,229.00	Facility		$489.24	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $454.59 / $489.24 / $562.35	Professional		$454.59	$489.24	$562.35
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 $443.30 / $537.19 / $773.39	Professional		$443.30	$537.19	$773.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.00 / $756.81 / $873.03	Facility		$558.00	$756.81	$873.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $540.58 / $756.81 / $1,081.16	Professional		$540.58	$756.81	$1,081.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.77 / $671.11 / $671.11	Facility		$614.77	$671.11	$671.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.26 / $691.42 / $1,069.93	Professional		$559.26	$691.42	$1,069.93
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 $496.65 / $667.91 / $1,101.28	Professional		$496.65	$667.91	$1,101.28