Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.52 / $576.35 / $4,727.39	Facility		$156.52	$576.35	$4,727.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.63 / $190.60 / $269.24	Professional		$128.63	$190.60	$269.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,059.00	Facility		$1,359.00	$2,292.00	$4,059.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $200.22 / $267.70	Professional		$155.62	$200.22	$267.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.29 / $192.09 / $220.91	Facility		$142.29	$192.09	$220.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $229.86 / $334.34	Professional		$177.86	$229.86	$334.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.32 / $261.81 / $1,587.00	Facility		$137.32	$261.81	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.55 / $236.19 / $375.61	Professional		$148.55	$236.19	$375.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $271.64	Professional		$32.34	$32.34	$271.64
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $814.00 / $1,895.00	Facility		$59.00	$814.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.86 / $260.72 / $375.61	Professional		$198.86	$260.72	$375.61