Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $214.07 / $325.75 / $5,320.00	Facility		$214.07	$325.75	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.12 / $258.67 / $354.29	Professional		$196.12	$258.67	$354.29
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 $182.96 / $221.71 / $353.93	Professional		$182.96	$221.71	$353.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $212.94 / $259.29 / $302.72	Facility		$212.94	$259.29	$302.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.77 / $325.89 / $566.76	Professional		$208.77	$325.89	$566.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $253.56 / $384.14 / $1,111.00	Facility		$253.56	$384.14	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $298.42 / $508.36	Professional		$206.91	$298.42	$508.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $368.39	Professional		$32.34	$32.34	$368.39
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 $261.58 / $326.97 / $509.38	Professional		$261.58	$326.97	$509.38