Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $2,818.38 / $8,511.38	Facility		$398.11	$2,818.38	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $630.96	Professional		$398.11	$467.74	$630.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $9,120.11 / $11,220.18	Facility		$1,174.90	$9,120.11	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $758.58	Professional		$389.05	$467.74	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $512.86 / $602.56	Facility		$354.81	$512.86	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $524.81 / $616.60	Professional		$371.54	$524.81	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $691.83 / $691.83	Facility		$34.67	$691.83	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $2,884.03	Professional		$478.63	$794.33	$2,884.03
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 $407.38 / $630.96 / $851.14	Professional		$407.38	$630.96	$851.14