Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,698.24 / $3,890.45	Facility		$162.18	$1,698.24	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $218.78 / $380.19	Professional		$144.54	$218.78	$380.19
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 $117.49 / $141.25 / $245.47	Professional		$117.49	$141.25	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $199.53 / $257.04	Facility		$144.54	$199.53	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $239.88	Professional		$162.18	$199.53	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $269.15 / $269.15	Facility		$34.67	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $309.03 / $1,230.27	Professional		$173.78	$309.03	$1,230.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $165.96	Professional		$32.36	$33.11	$165.96
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 $151.36 / $229.09 / $407.38	Professional		$151.36	$229.09	$407.38