Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,630.78 / $10,471.29	Facility		$891.25	$3,630.78	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $8,511.38 / $10,471.29	Professional		$977.24	$8,511.38	$10,471.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $10,715.19 / $11,220.18	Facility		$5,128.61	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Professional		$0.02	$0.02	$0.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $186.21 / $251.19	Facility		$158.49	$186.21	$251.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $162.18	Professional		$102.33	$131.83	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $123.03	Professional		$75.86	$97.72	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28