Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $1,716.00 / $5,123.64	Facility		$220.74	$1,716.00	$5,123.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.76 / $2,339.35 / $4,864.03	Professional		$202.76	$2,339.35	$4,864.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,565.00 / $6,084.00 / $14,034.00	Facility		$3,565.00	$6,084.00	$14,034.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $268.08 / $309.26	Professional		$201.06	$268.08	$309.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.15 / $280.94 / $324.08	Facility		$192.15	$280.94	$324.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $282.94 / $3,641.62	Professional		$220.74	$282.94	$3,641.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.23 / $369.23 / $369.23	Facility		$369.23	$369.23	$369.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.36 / $2,533.78 / $7,530.68	Professional		$265.36	$2,533.78	$7,530.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $143.70 / $3,270.54	Professional		$32.34	$143.70	$3,270.54
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $7,397.00	Facility		$50.00	$668.00	$7,397.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,380.24 / $5,121.80 / $7,430.15	Professional		$3,380.24	$5,121.80	$7,430.15