Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,288.25 / $8,511.38	Facility		$446.68	$1,288.25	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $691.83	Professional		$323.59	$380.19	$691.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $10,715.19 / $11,220.18	Facility		$6,606.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $380.19	Professional		$229.09	$275.42	$380.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $380.19 / $537.03	Facility		$309.03	$380.19	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $416.87 / $537.03	Professional		$295.12	$416.87	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $616.60 / $616.60	Facility		$34.67	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $1,047.13 / $1,698.24	Professional		$338.84	$1,047.13	$1,698.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $44.67 / $67.61	Professional		$35.48	$44.67	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $4,168.69 / $30,199.52	Facility		$407.38	$4,168.69	$30,199.52
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $676.08	Professional		$316.23	$457.09	$676.08