Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.22 / $299.31 / $5,320.00	Facility		$140.22	$299.31	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.22 / $228.33 / $304.51	Professional		$140.22	$228.33	$304.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $113.62 / $194.10	Professional		$93.77	$113.62	$194.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $187.94 / $216.79	Facility		$136.91	$187.94	$216.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.02 / $194.65 / $419.03	Professional		$148.02	$194.65	$419.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.41 / $247.00 / $247.00	Facility		$159.41	$247.00	$247.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.31 / $241.14 / $498.14	Professional		$139.31	$241.14	$498.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.76 / $315.14 / $532.01	Professional		$231.76	$315.14	$532.01