Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.11 / $400.00 / $5,093.25	Facility		$146.11	$400.00	$5,093.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.65 / $289.17 / $549.26	Professional		$129.65	$289.17	$549.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.99 / $143.68 / $239.56	Professional		$110.99	$143.68	$239.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $185.96 / $214.53	Facility		$130.94	$185.96	$214.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.07 / $187.29 / $427.04	Professional		$146.07	$187.29	$427.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.80 / $244.41 / $244.41	Facility		$224.80	$244.41	$244.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.79 / $409.18 / $689.12	Professional		$166.79	$409.18	$689.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $48.50 / $335.53	Professional		$32.34	$48.50	$335.53
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $341.15 / $490.27 / $716.76	Professional		$341.15	$490.27	$716.76