Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.58 / $260.57 / $5,320.00	Facility		$173.58	$260.57	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $216.79 / $272.00	Professional		$152.75	$216.79	$272.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.94 / $190.75 / $297.55	Professional		$138.94	$190.75	$297.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.18 / $209.65 / $244.76	Facility		$172.18	$209.65	$244.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.08 / $242.52 / $473.76	Professional		$185.08	$242.52	$473.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.19 / $310.58 / $1,587.00	Facility		$243.19	$310.58	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $263.97 / $482.60	Professional		$181.62	$263.97	$482.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $307.94	Professional		$32.34	$32.34	$307.94
United Facility/Professional Facility Modifier Low / Median / High Price $590.00 / $1,450.00 / $4,039.00	Facility		$590.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.39 / $279.58 / $434.72	Professional		$221.39	$279.58	$434.72