Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.28 / $787.00 / $8,229.00	Facility		$415.28	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.33 / $415.28 / $477.34	Professional		$402.33	$415.28	$477.34
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 $417.11 / $505.44 / $709.56	Professional		$417.11	$505.44	$709.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $475.82 / $645.75 / $744.91	Facility		$475.82	$645.75	$744.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $530.44 / $645.75 / $922.50	Professional		$530.44	$645.75	$922.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $541.16 / $570.66 / $570.66	Facility		$541.16	$570.66	$570.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $477.29 / $621.79 / $1,045.08	Professional		$477.29	$621.79	$1,045.08
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $431.60 / $647.40 / $959.11	Professional		$431.60	$647.40	$959.11