Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.69 / $344.49 / $5,320.00	Facility		$217.69	$344.49	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.63 / $290.76 / $359.06	Professional		$198.63	$290.76	$359.06
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 $180.56 / $224.64 / $346.00	Professional		$180.56	$224.64	$346.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $214.10 / $260.70 / $304.37	Facility		$214.10	$260.70	$304.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.91 / $304.37 / $626.34	Professional		$209.91	$304.37	$626.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.01 / $386.23 / $1,587.00	Facility		$288.01	$386.23	$1,587.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.01 / $332.57 / $595.01	Professional		$230.01	$332.57	$595.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $407.12	Professional		$32.34	$32.34	$407.12
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $260.99 / $354.97 / $623.10	Professional		$260.99	$354.97	$623.10