Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.90 / $330.35 / $5,320.00	Facility		$188.90	$330.35	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $278.43 / $344.39	Professional		$172.60	$278.43	$344.39
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 $170.77 / $211.82 / $328.00	Professional		$170.77	$211.82	$328.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $228.20 / $266.41	Facility		$187.40	$228.20	$266.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $293.56 / $600.64	Professional		$183.73	$293.56	$600.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $219.13 / $338.06 / $1,587.00	Facility		$219.13	$338.06	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.94 / $315.95 / $572.13	Professional		$207.94	$315.95	$572.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $390.42	Professional		$32.34	$32.34	$390.42
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 $251.36 / $326.77 / $541.71	Professional		$251.36	$326.77	$541.71