Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,288.25 / $3,890.45	Facility		$269.15	$1,288.25	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $199.53 / $407.38	Professional		$79.43	$199.53	$407.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $147.91 / $208.93	Professional		$74.13	$147.91	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $125.89	Facility		$72.44	$89.13	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $125.89	Professional		$69.18	$97.72	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $1,318.26	Facility		$144.54	$144.54	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $257.04 / $1,318.26	Professional		$89.13	$257.04	$1,318.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $323.59	Professional		$32.36	$33.11	$323.59
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 $79.43 / $181.97 / $354.81	Professional		$79.43	$181.97	$354.81