Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.91 / $1,486.00 / $8,229.00	Facility		$342.91	$1,486.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.08 / $363.73 / $634.38	Professional		$305.08	$363.73	$634.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,335.00 / $43,093.00	Facility		$1,258.00	$2,335.00	$43,093.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.97 / $393.97 / $655.20	Professional		$330.97	$393.97	$655.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $303.44 / $438.89 / $517.91	Facility		$303.44	$438.89	$517.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $306.44 / $438.89 / $626.98	Professional		$306.44	$438.89	$626.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $387.23 / $655.15	Facility		$387.23	$387.23	$655.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.99 / $560.52 / $790.99	Professional		$370.99	$560.52	$790.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $418.53	Professional		$32.34	$32.34	$418.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,572.00 / $10,917.00 / $38,473.00	Facility		$1,572.00	$10,917.00	$38,473.00
United Facility/Professional Professional Modifier Low / Median / High Price $340.97 / $506.10 / $681.61	Professional		$340.97	$506.10	$681.61