Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.60 / $323.04 / $5,320.00	Facility		$213.60	$323.04	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.21 / $268.24 / $323.04	Professional		$188.21	$268.24	$323.04
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 $172.86 / $233.58 / $315.41	Professional		$172.86	$233.58	$315.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $210.08 / $255.80 / $298.64	Facility		$210.08	$255.80	$298.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $201.33 / $337.39 / $612.17	Professional		$201.33	$337.39	$612.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.97 / $378.97 / $1,111.00	Facility		$378.97	$378.97	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.79 / $315.77 / $583.34	Professional		$215.79	$315.77	$583.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $397.92	Professional		$32.34	$32.34	$397.92
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $4,039.00	Facility		$523.00	$1,450.00	$4,039.00
United Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $369.93 / $573.23	Professional		$272.06	$369.93	$573.23