Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.85 / $247.75 / $3,740.00	Facility		$158.85	$247.75	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.31 / $206.44 / $284.74	Professional		$144.31	$206.44	$284.74
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 $131.46 / $172.67 / $272.39	Professional		$131.46	$172.67	$272.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $157.68 / $192.00 / $224.16	Facility		$157.68	$192.00	$224.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.59 / $220.52 / $450.46	Professional		$154.59	$220.52	$450.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.01 / $284.45 / $1,111.00	Facility		$179.01	$284.45	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.51 / $222.68 / $385.08	Professional		$148.51	$222.68	$385.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $292.80	Professional		$32.34	$32.34	$292.80
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 $195.20 / $253.80 / $405.34	Professional		$195.20	$253.80	$405.34