Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $1,513.56 / $5,495.41	Facility		$169.82	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $177.83 / $331.13	Professional		$147.91	$177.83	$331.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,365.16	Facility		$1,479.11	$2,398.83	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $281.84	Professional		$141.25	$173.78	$281.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $223.87 / $316.23	Facility		$169.82	$223.87	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $275.42	Professional		$165.96	$223.87	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $302.00 / $1,659.59	Facility		$288.40	$302.00	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $1,174.90	Professional		$186.21	$302.00	$1,174.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $181.97	Professional		$32.36	$33.11	$181.97
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 $162.18 / $234.42 / $346.74	Professional		$162.18	$234.42	$346.74