Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $1,659.59 / $8,511.38	Facility		$123.03	$1,659.59	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $316.23	Professional		$120.23	$190.55	$316.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $4,365.16	Facility		$1,513.56	$2,454.71	$4,365.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $229.09	Professional		$104.71	$147.91	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $158.49 / $186.21	Facility		$114.82	$158.49	$186.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $162.18 / $190.55	Professional		$104.71	$162.18	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $213.80 / $223.87	Facility		$34.67	$213.80	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $977.24	Professional		$131.83	$234.42	$977.24
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 $117.49 / $186.21 / $316.23	Professional		$117.49	$186.21	$316.23