Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $3,890.45	Facility		$251.19	$501.19	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $501.19	Professional		$218.78	$275.42	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $199.53 / $302.00	Professional		$165.96	$199.53	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $281.84 / $371.54	Facility		$194.98	$281.84	$371.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $380.19	Professional		$229.09	$309.03	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $426.58 / $426.58	Facility		$34.67	$426.58	$426.58
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $295.12 / $295.12 / $295.12	Facility	54	$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $1,479.11	Professional		$239.88	$371.54	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $131.83	Professional		$32.36	$33.11	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $275.42 / $457.09	Professional		$204.17	$275.42	$457.09