Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $1,000.00 / $3,890.45	Facility		$104.71	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $199.53	Professional		$91.20	$107.15	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,884.03	Facility		$1,348.96	$2,137.96	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $169.82	Professional		$100.00	$117.49	$169.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $147.91	Facility		$95.50	$125.89	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $141.25 / $165.96	Professional		$97.72	$141.25	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $186.21 / $1,318.26	Facility		$134.90	$186.21	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $758.58	Professional		$100.00	$141.25	$758.58
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 $100.00 / $128.82 / $199.53	Professional		$100.00	$128.82	$199.53