Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $1,000.00 / $3,890.45	Facility		$154.88	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $269.15	Professional		$125.89	$151.36	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $181.97	Professional		$100.00	$123.03	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $169.82 / $223.87	Facility		$138.04	$169.82	$223.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $229.09	Professional		$138.04	$186.21	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,318.26	Facility		$257.04	$257.04	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $213.80 / $954.99	Professional		$138.04	$213.80	$954.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
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 $117.49 / $158.49 / $275.42	Professional		$117.49	$158.49	$275.42