Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,513.56 / $5,495.41	Facility		$186.21	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $309.03	Professional		$138.04	$169.82	$309.03
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 $186.21 / $223.87 / $549.54	Professional		$186.21	$223.87	$549.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $199.53 / $234.42	Facility		$154.88	$199.53	$234.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $218.78 / $269.15	Professional		$162.18	$218.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,659.59	Facility		$302.00	$302.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $346.74 / $1,862.09	Professional		$181.97	$346.74	$1,862.09
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 $162.18 / $295.12 / $407.38	Professional		$162.18	$295.12	$407.38