Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.39 / $332.29 / $5,320.00	Facility		$224.39	$332.29	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.00 / $276.86 / $345.26	Professional		$203.00	$276.86	$345.26
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 $186.06 / $228.66 / $366.77	Professional		$186.06	$228.66	$366.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.19 / $270.55 / $315.85	Facility		$222.19	$270.55	$315.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $217.83 / $315.85 / $604.16	Professional		$217.83	$315.85	$604.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $400.81 / $1,587.00	Facility		$195.88	$400.81	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.97 / $301.24 / $510.90	Professional		$209.97	$301.24	$510.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $392.70	Professional		$32.34	$32.34	$392.70
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $337.81 / $542.29	Professional		$260.85	$337.81	$542.29