Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.84 / $787.00 / $8,229.00	Facility		$484.84	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $452.50 / $484.84 / $557.29	Professional		$452.50	$484.84	$557.29
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 $464.69 / $563.10 / $845.30	Professional		$464.69	$563.10	$845.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $555.15 / $753.56 / $869.29	Facility		$555.15	$753.56	$869.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.15 / $753.56 / $1,076.52	Professional		$526.15	$753.56	$1,076.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $664.52 / $665.44 / $665.44	Facility		$664.52	$665.44	$665.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.53 / $730.87 / $1,107.26	Professional		$554.53	$730.87	$1,107.26
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 $506.38 / $757.71 / $1,123.89	Professional		$506.38	$757.71	$1,123.89