Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,513.56 / $5,495.41	Facility		$199.53	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $190.55 / $309.03	Professional		$114.82	$190.55	$309.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $245.47	Professional		$120.23	$158.49	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $151.36 / $181.97	Facility		$109.65	$151.36	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $154.88 / $186.21	Professional		$109.65	$154.88	$186.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $1,659.59	Facility		$141.25	$204.17	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $1,122.02	Professional		$131.83	$245.47	$1,122.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
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 $114.82 / $194.98 / $338.84	Professional		$114.82	$194.98	$338.84