Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,000.00 / $3,890.45	Facility		$75.86	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $138.04 / $234.42	Professional		$58.88	$138.04	$234.42
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 $58.88 / $123.03 / $295.12	Professional		$58.88	$123.03	$295.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $100.00	Facility		$56.23	$77.62	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $77.62 / $91.20	Professional		$57.54	$77.62	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $104.71 / $104.71	Facility		$34.67	$104.71	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $162.18 / $3,090.30	Professional		$69.18	$162.18	$3,090.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
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 $66.07 / $131.83 / $245.47	Professional		$66.07	$131.83	$245.47