Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.41 / $396.48 / $5,320.00	Facility		$227.41	$396.48	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $318.05 / $447.16	Professional		$200.12	$318.05	$447.16
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 $156.52 / $234.71 / $367.19	Professional		$156.52	$234.71	$367.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.18 / $275.39 / $321.52	Facility		$226.18	$275.39	$321.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $216.75 / $338.22 / $692.00	Professional		$216.75	$338.22	$692.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.41 / $408.00 / $1,587.00	Facility		$228.41	$408.00	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.48 / $361.50 / $668.59	Professional		$240.48	$361.50	$668.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $449.80	Professional		$32.34	$32.34	$449.80
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 $297.97 / $387.36 / $614.76	Professional		$297.97	$387.36	$614.76