Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $1,000.00 / $3,890.45	Facility		$77.62	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $134.90	Professional		$72.44	$91.20	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $97.72	Professional		$57.54	$67.61	$97.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $74.13 / $95.50	Facility		$56.23	$74.13	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $107.15	Professional		$64.57	$91.20	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $95.50 / $120.23	Facility		$34.67	$95.50	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $407.38	Professional		$67.61	$109.65	$407.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $39.81	Professional		$32.36	$33.11	$39.81
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 $63.10 / $81.28 / $147.91	Professional		$63.10	$81.28	$147.91