Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,000.00 / $3,890.45	Facility		$93.33	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $112.20 / $194.98	Professional		$79.43	$112.20	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $104.71 / $223.87	Professional		$79.43	$104.71	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $134.90	Facility		$81.28	$102.33	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $131.83	Professional		$83.18	$109.65	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $151.36	Facility		$34.67	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $1,479.11	Professional		$102.33	$165.96	$1,479.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $45.71	Professional		$32.36	$33.11	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $199.53	Professional		$85.11	$125.89	$199.53