Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.73 / $787.00 / $8,229.00	Facility		$464.73	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.08 / $571.33 / $789.55	Professional		$425.08	$571.33	$789.55
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 $360.51 / $436.86 / $746.88	Professional		$360.51	$436.86	$746.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $540.77 / $655.29 / $1,120.32	Professional	50	$540.77	$655.29	$1,120.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $408.13 / $573.57 / $655.50	Facility		$408.13	$573.57	$655.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $470.12 / $577.66 / $921.80	Professional		$470.12	$577.66	$921.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.97 / $753.83 / $1,117.44	Facility		$489.97	$753.83	$1,117.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.39 / $625.34 / $2,118.82	Professional		$408.39	$625.34	$2,118.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $383.41	Professional		$32.34	$32.34	$383.41
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.51 / $646.59 / $1,083.23	Professional		$489.51	$646.59	$1,083.23