Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $1,778.28 / $3,890.45	Facility		$117.49	$1,778.28	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $100.00 / $208.93	Professional		$87.10	$100.00	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,951.21	Facility		$1,258.93	$2,137.96	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $144.54	Professional		$87.10	$102.33	$144.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $117.49 / $138.04	Facility		$85.11	$117.49	$138.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $141.25	Professional		$95.50	$120.23	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $1,659.59	Facility		$114.82	$158.49	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $158.49 / $645.65	Professional		$100.00	$158.49	$645.65
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 $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 $83.18 / $112.20 / $181.97	Professional		$83.18	$112.20	$181.97