Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,513.56 / $5,495.41	Facility		$109.65	$1,513.56	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $117.49 / $213.80	Professional		$100.00	$117.49	$213.80
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 $102.33 / $123.03 / $181.97	Professional		$102.33	$123.03	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $144.54 / $204.17	Facility		$102.33	$144.54	$204.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $169.82	Professional		$107.15	$138.04	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $1,659.59	Facility		$194.98	$194.98	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $199.53 / $758.58	Professional		$131.83	$199.53	$758.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $107.15	Professional		$32.36	$33.11	$107.15
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 $107.15 / $147.91 / $223.87	Professional		$107.15	$147.91	$223.87