Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,288.25 / $8,511.38	Facility		$120.23	$1,288.25	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $169.82 / $275.42	Professional		$77.62	$169.82	$275.42
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 $66.07 / $134.90 / $177.83	Professional		$66.07	$134.90	$177.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $87.10 / $123.03	Facility		$70.79	$87.10	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $120.23	Professional		$74.13	$91.20	$120.23
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 $89.13 / $208.93 / $891.25	Professional		$89.13	$208.93	$891.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $147.91	Professional		$32.36	$33.11	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $302.00	Professional		$81.28	$165.96	$302.00