Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.94 / $557.00 / $5,320.00	Facility		$147.94	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $168.11 / $217.20	Professional		$147.94	$168.11	$217.20
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 $186.46 / $237.33 / $545.44	Professional		$186.46	$237.33	$545.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.32 / $202.52 / $236.44	Facility		$166.32	$202.52	$236.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.38 / $228.28 / $326.12	Professional		$159.38	$228.28	$326.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.30 / $200.30 / $1,587.00	Facility		$200.30	$200.30	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.53 / $308.58 / $742.71	Professional		$180.53	$308.58	$742.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $211.98	Professional		$32.34	$32.34	$211.98
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 $166.02 / $280.52 / $408.69	Professional		$166.02	$280.52	$408.69