Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.07 / $787.00 / $8,229.00	Facility		$397.07	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $387.80 / $440.63 / $451.21	Professional		$387.80	$440.63	$451.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.08 / $324.86 / $407.71	Professional		$268.08	$324.86	$407.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.02 / $607.19 / $700.44	Facility		$445.02	$607.19	$700.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.77 / $607.19 / $867.42	Professional		$498.77	$607.19	$867.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $536.69 / $536.69 / $536.69	Facility		$536.69	$536.69	$536.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $447.24 / $576.00 / $1,074.30	Professional		$447.24	$576.00	$1,074.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.45 / $580.30 / $851.03	Professional		$385.45	$580.30	$851.03