Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.43 / $531.22 / $8,229.00	Facility		$416.43	$531.22	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.43 / $483.48 / $581.84	Professional		$416.43	$483.48	$581.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,793.96 / $5,366.95 / $11,253.00	Facility		$2,793.96	$5,366.95	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.68 / $457.04 / $672.39	Professional		$357.68	$457.04	$672.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $463.80 / $676.10 / $779.93	Facility		$463.80	$676.10	$779.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $482.93 / $654.61 / $965.86	Professional		$482.93	$654.61	$965.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.54 / $592.54 / $622.65	Facility		$592.54	$592.54	$622.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.79 / $667.18 / $942.38	Professional		$493.79	$667.18	$942.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $627.80	Professional		$32.34	$32.34	$627.80
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 $467.32 / $627.33 / $901.19	Professional		$467.32	$627.33	$901.19