Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.57 / $416.00 / $3,740.00	Facility		$190.57	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $258.31 / $387.66	Professional		$190.57	$258.31	$387.66
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 $154.63 / $187.38 / $269.36	Professional		$154.63	$187.38	$269.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.12 / $251.94 / $290.64	Facility		$185.12	$251.94	$290.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.95 / $255.41 / $404.91	Professional		$206.95	$255.41	$404.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.99 / $331.13 / $331.13	Facility		$217.99	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.54 / $298.19 / $537.57	Professional		$187.54	$298.19	$537.57
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 $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 $230.57 / $344.82 / $508.60	Professional		$230.57	$344.82	$508.60