Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.90 / $442.16 / $5,320.00	Facility		$214.90	$442.16	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $260.43 / $374.43	Professional		$189.11	$260.43	$374.43
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 $212.09 / $270.48 / $355.50	Professional		$212.09	$270.48	$355.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $207.97 / $280.76 / $323.55	Facility		$207.97	$280.76	$323.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $227.54 / $309.27 / $463.91	Professional		$227.54	$309.27	$463.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.65 / $382.66 / $1,587.00	Facility		$178.65	$382.66	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.76 / $319.12 / $500.70	Professional		$213.76	$319.12	$500.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $365.51	Professional		$32.34	$32.34	$365.51
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 $270.08 / $355.70 / $508.65	Professional		$270.08	$355.70	$508.65