Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $535.00 / $5,320.00	Facility		$112.83	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $193.91 / $258.61	Professional		$112.83	$193.91	$258.61
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 $94.76 / $160.13 / $289.48	Professional		$94.76	$160.13	$289.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.92 / $154.35 / $178.05	Facility		$112.92	$154.35	$178.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $176.40 / $345.39	Professional		$131.19	$176.40	$345.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.71 / $202.86 / $202.86	Facility		$140.71	$202.86	$202.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $231.34 / $461.86	Professional		$130.35	$231.34	$461.86
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 $212.95 / $280.64 / $471.62	Professional		$212.95	$280.64	$471.62