Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,000.00 / $3,890.45	Facility		$117.49	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $134.90 / $199.53	Professional		$93.33	$134.90	$199.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $151.36	Professional		$79.43	$114.82	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $109.65 / $131.83	Facility		$77.62	$109.65	$131.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $134.90	Professional		$81.28	$114.82	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $151.36 / $151.36	Facility		$34.67	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $645.65	Professional		$112.20	$190.55	$645.65
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 $107.15 / $165.96 / $269.15	Professional		$107.15	$165.96	$269.15