Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,000.00 / $3,890.45	Facility		$169.82	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $229.09 / $363.08	Professional		$147.91	$229.09	$363.08
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 $134.90 / $162.18 / $251.19	Professional		$134.90	$162.18	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $204.17 / $263.03	Facility		$147.91	$204.17	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $245.47	Professional		$162.18	$199.53	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $275.42 / $275.42	Facility		$34.67	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $323.59 / $1,737.80	Professional		$186.21	$323.59	$1,737.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $83.18	Professional		$32.36	$33.11	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $239.88 / $426.58	Professional		$154.88	$239.88	$426.58