Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.80 / $301.13 / $5,320.00	Facility		$111.80	$301.13	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $198.58 / $301.13	Professional		$121.24	$198.58	$301.13
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 $92.42 / $150.99 / $249.86	Professional		$92.42	$150.99	$249.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.45 / $142.30 / $164.14	Facility		$104.45	$142.30	$164.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $162.62 / $291.56	Professional		$111.76	$162.62	$291.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.16 / $187.02 / $187.02	Facility		$143.16	$187.02	$187.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $217.36 / $388.17	Professional		$120.22	$217.36	$388.17
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 $391.00 / $950.00 / $11,156.00	Facility		$391.00	$950.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $328.62 / $461.22	Professional		$192.39	$328.62	$461.22