Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.88 / $327.20 / $3,740.00	Facility		$195.88	$327.20	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $229.97 / $321.62	Professional		$188.05	$229.97	$321.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.46 / $205.89 / $350.18	Professional		$132.46	$205.89	$350.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $196.06 / $269.08 / $310.42	Facility		$196.06	$269.08	$310.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $221.04 / $278.70 / $458.07	Professional		$221.04	$278.70	$458.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $195.56 / $353.67 / $353.67	Facility		$195.56	$353.67	$353.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.56 / $307.86 / $562.98	Professional		$194.56	$307.86	$562.98
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 $245.06 / $334.17 / $606.24	Professional		$245.06	$334.17	$606.24