Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.46 / $325.11 / $5,320.00	Facility		$133.46	$325.11	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $245.92 / $376.14	Professional		$146.86	$245.92	$376.14
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 $120.26 / $145.72 / $273.17	Professional		$120.26	$145.72	$273.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.38 / $207.02 / $238.81	Facility		$145.38	$207.02	$238.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.66 / $212.18 / $386.72	Professional		$162.66	$212.18	$386.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.07 / $272.08 / $272.08	Facility		$239.07	$272.08	$272.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.55 / $292.36 / $518.92	Professional		$165.55	$292.36	$518.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $47.23 / $289.64	Professional		$32.34	$47.23	$289.64
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 $248.19 / $361.67 / $522.10	Professional		$248.19	$361.67	$522.10