Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $1,288.25 / $5,495.41	Facility		$162.18	$1,288.25	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $275.42	Professional		$158.49	$199.53	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,398.83 / $4,365.16	Facility		$1,513.56	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $263.03	Professional		$141.25	$181.97	$263.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $213.80 / $257.04	Facility		$154.88	$213.80	$257.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $263.03	Professional		$158.49	$223.87	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $295.12 / $1,659.59	Facility		$194.98	$295.12	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $1,122.02	Professional		$169.82	$257.04	$1,122.02
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 $602.56 / $2,754.23 / $6,309.57	Facility		$602.56	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $223.87 / $338.84	Professional		$154.88	$223.87	$338.84