Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,000.00 / $3,890.45	Facility		$138.04	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $194.98 / $302.00	Professional		$128.82	$194.98	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,951.21	Facility		$1,148.15	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $234.42	Professional		$102.33	$120.23	$234.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $144.54 / $190.55	Facility		$117.49	$144.54	$190.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $194.98	Professional		$117.49	$158.49	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $1,659.59	Facility		$218.78	$218.78	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $933.25	Professional		$125.89	$213.80	$933.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $75.86	Professional		$32.36	$33.11	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $169.82 / $295.12	Professional		$112.20	$169.82	$295.12