Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.05 / $323.05 / $974.29	Facility		$323.05	$323.05	$974.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.52 / $522.52 / $2,062.80	Professional		$522.52	$522.52	$2,062.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $1,071.29 / $1,700.29	Professional		$295.95	$1,071.29	$1,700.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $300.31 / $411.15 / $474.30	Facility		$300.31	$411.15	$474.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $337.73 / $469.89 / $1,771.44	Professional		$337.73	$469.89	$1,771.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $485.90 / $485.90 / $485.90	Professional		$485.90	$485.90	$485.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $1,223.98 / $2,044.92 / $2,502.87	Professional		$1,223.98	$2,044.92	$2,502.87