Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $5,623.41 / $10,964.78	Facility		$380.19	$5,623.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $416.87	Professional		$281.84	$316.23	$416.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,120.11 / $11,220.18	Facility		$2,951.21	$9,120.11	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $275.42	Professional		$190.55	$229.09	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $363.08 / $426.58	Facility		$251.19	$363.08	$426.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $436.52	Professional		$288.40	$371.54	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $489.78 / $489.78	Facility		$34.67	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $1,318.26	Professional		$323.59	$549.54	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,466.84 / $30,199.52	Facility		$602.56	$4,466.84	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $575.44	Professional		$275.42	$436.52	$575.44