Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $3,162.28 / $13,803.84	Facility		$478.63	$3,162.28	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $416.87 / $588.84	Professional		$380.19	$416.87	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $11,220.18 / $11,748.98	Facility		$9,549.93	$11,220.18	$11,748.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $758.58	Professional		$354.81	$416.87	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $446.68 / $524.81	Facility		$316.23	$446.68	$524.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $537.03	Professional		$363.08	$457.09	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $602.56 / $602.56	Facility		$34.67	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $724.44 / $3,090.30	Professional		$426.58	$724.44	$3,090.30
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 $3,019.95 / $28,183.83 / $81,283.05	Facility		$3,019.95	$28,183.83	$81,283.05
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $645.65 / $870.96	Professional		$380.19	$645.65	$870.96