Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.38 / $462.50 / $8,229.00	Facility		$354.38	$462.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.49 / $382.89 / $513.16	Professional		$343.49	$382.89	$513.16
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 $353.57 / $428.45 / $588.57	Professional		$353.57	$428.45	$588.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $400.81 / $550.13 / $634.62	Facility		$400.81	$550.13	$634.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $384.11 / $550.13 / $785.90	Professional		$384.11	$550.13	$785.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.77 / $487.04 / $487.04	Facility		$455.77	$487.04	$487.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $405.89 / $528.49 / $887.63	Professional		$405.89	$528.49	$887.63
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 $363.73 / $530.98 / $784.86	Professional		$363.73	$530.98	$784.86