Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.07 / $1,036.98 / $3,740.00	Facility		$152.07	$1,036.98	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.61 / $1,023.00 / $1,267.76	Professional		$140.61	$1,023.00	$1,267.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $269.63 / $382.80	Professional		$208.29	$269.63	$382.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $133.91 / $622.44	Facility		$94.60	$133.91	$622.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $138.69 / $1,468.82	Professional		$109.76	$138.69	$1,468.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.96 / $934.62 / $2,317.19	Professional		$154.96	$934.62	$2,317.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $991.27	Professional		$32.34	$32.34	$991.27
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,009.49 / $1,329.39 / $2,147.31	Professional		$1,009.49	$1,329.39	$2,147.31