Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $320.50 / $5,320.00	Facility		$121.72	$320.50	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $176.65 / $256.18	Professional		$125.00	$176.65	$256.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,229.00	Facility		$1,258.00	$2,316.00	$4,229.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.69 / $161.08 / $265.42	Professional		$118.69	$161.08	$265.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.80 / $190.18 / $219.37	Facility		$133.80	$190.18	$219.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $191.53 / $305.64	Professional		$132.78	$191.53	$305.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $249.95 / $249.95 / $315.58	Facility		$249.95	$249.95	$315.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.02 / $232.26 / $389.96	Professional		$152.02	$232.26	$389.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.13 / $213.39	Professional		$32.34	$50.13	$213.39
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.08 / $243.30 / $396.27	Professional		$175.08	$243.30	$396.27