Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.54 / $493.26 / $8,229.00	Facility		$392.54	$493.26	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.54 / $430.76 / $517.01	Professional		$392.54	$430.76	$517.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,241.00 / $9,565.00 / $11,253.00	Facility		$8,241.00	$9,565.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $476.23 / $604.91 / $818.34	Professional		$476.23	$604.91	$818.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $817.02 / $960.00 / $1,293.60	Facility		$817.02	$960.00	$1,293.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $706.06 / $953.18 / $1,089.34	Professional		$706.06	$953.18	$1,089.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $553.75 / $553.75 / $553.75	Facility		$553.75	$553.75	$553.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.48 / $765.88 / $1,437.48	Professional		$500.48	$765.88	$1,437.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $504.33 / $605.19 / $680.84	Professional		$504.33	$605.19	$680.84
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 $571.35 / $736.41 / $1,038.63	Professional		$571.35	$736.41	$1,038.63