Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,000.00 / $3,890.45	Facility		$112.20	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $223.87	Professional		$100.00	$151.36	$223.87
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 $97.72 / $128.82 / $190.55	Professional		$97.72	$128.82	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $134.90 / $158.49	Facility		$107.15	$134.90	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $177.83	Professional		$107.15	$151.36	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $199.53 / $199.53	Facility		$34.67	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $851.14	Professional		$109.65	$173.78	$851.14
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 $107.15 / $151.36 / $245.47	Professional		$107.15	$151.36	$245.47