Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $1,000.00 / $3,890.45	Facility		$141.25	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $281.84	Professional		$120.23	$162.18	$281.84
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 $89.13 / $107.15 / $229.09	Professional		$89.13	$107.15	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $162.18 / $213.80	Facility		$120.23	$162.18	$213.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $199.53	Professional		$131.83	$162.18	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $223.87 / $1,318.26	Facility		$190.55	$223.87	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $1,047.13	Professional		$151.36	$239.88	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
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 $128.82 / $181.97 / $309.03	Professional		$128.82	$181.97	$309.03