Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,000.00 / $3,890.45	Facility		$302.00	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $616.60	Professional		$263.03	$323.59	$616.60
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 $204.17 / $245.47 / $354.81	Professional		$204.17	$245.47	$354.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $436.52	Facility		$229.09	$331.13	$436.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $446.68	Professional		$269.15	$363.08	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $489.78 / $489.78	Facility		$34.67	$489.78	$489.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $436.52 / $1,778.28	Professional		$288.40	$436.52	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $144.54	Professional		$32.36	$33.11	$144.54
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 $239.88 / $323.59 / $549.54	Professional		$239.88	$323.59	$549.54