Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,000.00 / $3,890.45	Facility		$181.97	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $190.55 / $354.81	Professional		$158.49	$190.55	$354.81
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 $120.23 / $144.54 / $257.04	Professional		$120.23	$144.54	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $204.17 / $263.03	Facility		$154.88	$204.17	$263.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $269.15	Professional		$165.96	$223.87	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $302.00	Facility		$34.67	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $1,348.96	Professional		$190.55	$281.84	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $72.44	Professional		$32.36	$33.11	$72.44
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 $162.18 / $218.78 / $363.08	Professional		$162.18	$218.78	$363.08