Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $1,513.56 / $5,495.41	Facility		$165.96	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $218.78	Professional		$123.03	$147.91	$218.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $524.81	Professional		$141.25	$173.78	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $177.83 / $208.93	Facility		$134.90	$177.83	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $239.88	Professional		$128.82	$199.53	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $1,659.59	Facility		$263.03	$263.03	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $288.40 / $1,621.81	Professional		$158.49	$288.40	$1,621.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
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 $144.54 / $251.19 / $346.74	Professional		$144.54	$251.19	$346.74