Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.82 / $257.57 / $5,320.00	Facility		$167.82	$257.57	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.15 / $213.87 / $294.41	Professional		$149.15	$213.87	$294.41
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 $124.04 / $165.50 / $234.36	Professional		$124.04	$165.50	$234.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.36 / $203.79 / $237.92	Facility		$167.36	$203.79	$237.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $237.92 / $468.30	Professional		$164.08	$237.92	$468.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.50 / $301.91 / $1,587.00	Facility		$159.50	$301.91	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.43 / $247.98 / $432.71	Professional		$177.43	$247.98	$432.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $304.39	Professional		$32.34	$32.34	$304.39
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $1,945.00 / $5,995.00	Facility		$599.00	$1,945.00	$5,995.00
United Facility/Professional Professional Modifier Low / Median / High Price $197.70 / $244.48 / $400.78	Professional		$197.70	$244.48	$400.78