Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.63 / $508.90 / $8,229.00	Facility		$411.63	$508.90	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.62 / $451.53 / $537.02	Professional		$399.62	$451.53	$537.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,088.00 / $3,889.00 / $8,766.00	Facility		$2,088.00	$3,889.00	$8,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.85 / $357.04 / $539.51	Professional		$296.85	$357.04	$539.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.79 / $508.75 / $581.41	Facility		$362.79	$508.75	$581.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $355.21 / $473.83 / $811.32	Professional		$355.21	$473.83	$811.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $404.79 / $540.16 / $668.64	Facility		$404.79	$540.16	$668.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.99 / $486.68 / $1,883.42	Professional		$343.99	$486.68	$1,883.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $198.36	Professional		$32.34	$32.34	$198.36
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 $368.76 / $476.18 / $770.12	Professional		$368.76	$476.18	$770.12