Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,000.00 / $3,890.45	Facility		$173.78	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $275.42 / $467.74	Professional		$154.88	$275.42	$467.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $263.03	Professional		$120.23	$147.91	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $208.93 / $269.15	Facility		$151.36	$208.93	$269.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $257.04	Professional		$154.88	$208.93	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $288.40 / $1,318.26	Facility		$263.03	$288.40	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $338.84 / $1,778.28	Professional		$173.78	$338.84	$1,778.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $70.79	Professional		$32.36	$33.11	$70.79
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 $147.91 / $257.04 / $478.63	Professional		$147.91	$257.04	$478.63