Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $262.14 / $5,320.00	Facility		$127.43	$262.14	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $211.29 / $262.55	Professional		$127.43	$211.29	$262.55
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 $129.26 / $194.99 / $314.35	Professional		$129.26	$194.99	$314.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $126.07 / $172.40 / $198.87	Facility		$126.07	$172.40	$198.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $197.02 / $367.00	Professional		$146.54	$197.02	$367.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.89 / $226.58 / $226.58	Facility		$174.89	$226.58	$226.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.04 / $258.14 / $480.18	Professional		$158.04	$258.14	$480.18
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 $230.12 / $311.60 / $544.69	Professional		$230.12	$311.60	$544.69