Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,778.28 / $8,511.38	Facility		$295.12	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $446.68	Professional		$257.04	$331.13	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $323.59 / $446.68	Professional		$275.42	$323.59	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $389.05 / $457.09	Facility		$269.15	$389.05	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $467.74	Professional		$316.23	$398.11	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $524.81	Facility		$34.67	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $2,290.87	Professional		$323.59	$501.19	$2,290.87
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 $269.15 / $398.11 / $645.65	Professional		$269.15	$398.11	$645.65