Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,778.28 / $8,511.38	Facility		$489.78	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,479.11	Professional		$363.08	$363.08	$1,479.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,801.89 / $8,511.38	Facility		$1,995.26	$3,801.89	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $239.88	Professional		$169.82	$199.53	$239.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $263.03 / $316.23	Facility		$234.42	$263.03	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $316.23	Professional		$194.98	$257.04	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $194.98	Professional		$44.67	$44.67	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07