Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.55 / $591.57 / $5,320.00	Facility		$129.55	$591.57	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.82 / $518.04 / $788.99	Professional		$116.82	$518.04	$788.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,045.00 / $2,978.00	Facility		$1,066.00	$2,045.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.13 / $498.06 / $750.38	Professional		$120.13	$498.06	$750.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.64 / $154.59 / $180.48	Facility		$126.64	$154.59	$180.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $180.48 / $1,075.58	Professional		$135.50	$180.48	$1,075.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.02 / $229.02 / $229.02	Facility		$229.02	$229.02	$229.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.66 / $583.78 / $1,157.00	Professional		$142.66	$583.78	$1,157.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $699.13	Professional		$32.34	$32.34	$699.13
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $2,525.00	Facility		$391.00	$950.00	$2,525.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.10 / $723.71 / $1,132.92	Professional		$525.10	$723.71	$1,132.92