Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.87 / $787.00 / $8,229.00	Facility		$443.87	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.50 / $492.49 / $504.40	Professional		$443.50	$492.49	$504.40
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 $307.68 / $372.84 / $467.56	Professional		$307.68	$372.84	$467.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $497.46 / $679.06 / $783.33	Facility		$497.46	$679.06	$783.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.78 / $679.06 / $970.08	Professional		$553.78	$679.06	$970.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $600.08 / $600.08 / $600.08	Facility		$600.08	$600.08	$600.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $500.07 / $661.06 / $1,231.85	Professional		$500.07	$661.06	$1,231.85
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 $441.44 / $666.16 / $976.56	Professional		$441.44	$666.16	$976.56