Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.96 / $557.00 / $5,320.00	Facility		$130.96	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.96 / $148.82 / $183.59	Professional		$130.96	$148.82	$183.59
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 $142.36 / $209.78 / $449.30	Professional		$142.36	$209.78	$449.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $146.80 / $178.74 / $208.68	Facility		$146.80	$178.74	$208.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $140.68 / $201.49 / $287.83	Professional		$140.68	$201.49	$287.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.77 / $177.77 / $1,587.00	Facility		$177.77	$177.77	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.13 / $257.80 / $615.03	Professional		$159.13	$257.80	$615.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $187.10	Professional		$32.34	$32.34	$187.10
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.44 / $241.80 / $341.63	Professional		$147.44	$241.80	$341.63