Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $1,778.28 / $8,511.38	Facility		$218.78	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $1,513.56 / $2,511.89	Professional		$173.78	$1,513.56	$2,511.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,288.25 / $1,905.46	Professional		$199.53	$1,288.25	$1,905.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $223.87 / $269.15	Facility		$158.49	$223.87	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $275.42	Professional		$165.96	$234.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $302.00	Facility		$34.67	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $1,995.26 / $8,317.64	Professional		$234.42	$1,995.26	$8,317.64
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $1,513.56 / $2,884.03	Professional		$190.55	$1,513.56	$2,884.03