Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,000.00 / $3,890.45	Facility		$109.65	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $346.74 / $645.65	Professional		$87.10	$346.74	$645.65
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 $67.61 / $229.09 / $346.74	Professional		$67.61	$229.09	$346.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $102.33 / $123.03	Facility		$72.44	$102.33	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $104.71 / $125.89	Professional		$81.28	$104.71	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $138.04	Facility		$34.67	$138.04	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $524.81 / $1,698.24	Professional		$112.20	$524.81	$1,698.24
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 $389.05 / $954.99 / $11,220.18	Facility		$389.05	$954.99	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $295.12 / $758.58	Professional		$104.71	$295.12	$758.58