Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.58 / $290.72 / $5,320.00	Facility		$186.58	$290.72	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.19 / $255.83 / $344.67	Professional		$164.19	$255.83	$344.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,359.00 / $2,292.00 / $4,229.00	Facility		$1,359.00	$2,292.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.86 / $230.35 / $303.81	Professional		$165.86	$230.35	$303.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.48 / $222.20 / $259.42	Facility		$182.48	$222.20	$259.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.72 / $265.80 / $546.74	Professional		$162.72	$265.80	$546.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.19 / $329.19 / $1,111.00	Facility		$329.19	$329.19	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.50 / $292.98 / $575.01	Professional		$187.50	$292.98	$575.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $355.38	Professional		$32.34	$32.34	$355.38
United Facility/Professional Facility Modifier Low / Median / High Price $739.00 / $2,194.00 / $8,174.00	Facility		$739.00	$2,194.00	$8,174.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.60 / $346.57 / $521.72	Professional		$264.60	$346.57	$521.72