Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.34 / $601.19 / $8,229.00	Facility		$412.34	$601.19	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $412.34 / $478.31 / $601.19	Professional		$412.34	$478.31	$601.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.09 / $489.60 / $710.76	Professional		$411.09	$489.60	$710.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $459.18 / $669.56 / $772.39	Facility		$459.18	$669.56	$772.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $526.09 / $669.56 / $956.52	Professional		$526.09	$669.56	$956.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $586.41 / $586.41 / $743.00	Facility		$586.41	$586.41	$743.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.68 / $711.94 / $1,006.63	Professional		$488.68	$711.94	$1,006.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $621.74	Professional		$32.34	$32.34	$621.74
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 $482.99 / $666.99 / $1,049.56	Professional		$482.99	$666.99	$1,049.56