Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,288.25 / $3,890.45	Facility		$194.98	$1,288.25	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $181.97 / $288.40	Professional		$85.11	$181.97	$288.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,951.21	Facility		$1,348.96	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $208.93	Professional		$83.18	$141.25	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $95.50 / $134.90	Facility		$77.62	$95.50	$134.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $104.71 / $138.04	Professional		$74.13	$104.71	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $1,318.26	Facility		$151.36	$151.36	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $218.78 / $1,047.13	Professional		$97.72	$218.78	$1,047.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $97.72	Professional		$32.36	$33.11	$97.72
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 $87.10 / $169.82 / $295.12	Professional		$87.10	$169.82	$295.12