Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.88 / $860.00 / $5,320.00	Facility		$148.88	$860.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $154.41 / $234.48	Professional		$146.00	$154.41	$234.48
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 $137.25 / $166.32 / $247.00	Professional		$137.25	$166.32	$247.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.76 / $202.80 / $233.95	Facility		$147.76	$202.80	$233.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.59 / $202.80 / $289.72	Professional		$166.59	$202.80	$289.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $177.47 / $191.45	Facility		$177.47	$177.47	$191.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.99 / $221.76 / $341.57	Professional		$159.99	$221.76	$341.57
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 $135.97 / $210.63 / $318.45	Professional		$135.97	$210.63	$318.45