Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $2,818.38 / $8,511.38	Facility		$562.34	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $831.76	Professional		$562.34	$645.65	$831.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $10,715.19 / $29,512.09	Facility		$5,888.44	$10,715.19	$29,512.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $501.19	Professional		$380.19	$446.68	$501.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $724.44 / $851.14	Facility		$501.19	$724.44	$851.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $870.96	Professional		$512.86	$741.31	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $977.24 / $977.24	Facility		$34.67	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,148.15 / $2,630.27	Professional		$660.69	$1,148.15	$2,630.27
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 $575.44 / $891.25 / $1,202.26	Professional		$575.44	$891.25	$1,202.26