Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.32 / $787.00 / $5,320.00	Facility		$108.32	$787.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $126.50 / $283.14	Professional		$108.32	$126.50	$283.14
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 $98.05 / $120.80 / $221.80	Professional		$98.05	$120.80	$221.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $193.56 / $223.29	Facility		$130.26	$193.56	$223.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.26 / $186.65 / $276.52	Professional		$138.26	$186.65	$276.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.37 / $170.37 / $223.44	Facility		$170.37	$170.37	$223.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.91 / $192.00 / $292.24	Professional		$122.91	$192.00	$292.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $179.74	Professional		$32.34	$32.34	$179.74
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 $113.25 / $160.22 / $245.13	Professional		$113.25	$160.22	$245.13