Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.78 / $223.35 / $5,320.00	Facility		$122.78	$223.35	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $180.57 / $223.35	Professional		$122.78	$180.57	$223.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,389.00	Facility		$1,258.00	$2,316.00	$4,389.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $174.83 / $257.60	Professional		$114.75	$174.83	$257.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $166.49 / $192.05	Facility		$121.73	$166.49	$192.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $172.43 / $296.30	Professional		$130.25	$172.43	$296.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.40 / $218.81 / $218.81	Facility		$147.40	$218.81	$218.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.32 / $218.74 / $389.70	Professional		$136.32	$218.74	$389.70
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $263.61 / $391.72	Professional		$188.75	$263.61	$391.72