Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,513.56 / $5,495.41	Facility		$194.98	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $302.00	Professional		$128.82	$194.98	$302.00
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 $123.03 / $169.82 / $251.19	Professional		$123.03	$169.82	$251.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $165.96 / $199.53	Facility		$120.23	$165.96	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $173.78 / $204.17	Professional		$123.03	$173.78	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $1,659.59	Facility		$229.09	$229.09	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $234.42 / $1,230.27	Professional		$138.04	$234.42	$1,230.27
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 $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $204.17 / $346.74	Professional		$125.89	$204.17	$346.74