Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.63 / $336.36 / $3,740.00	Facility		$182.63	$336.36	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.88 / $256.19 / $351.83	Professional		$174.88	$256.19	$351.83
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 $162.61 / $222.45 / $361.34	Professional		$162.61	$222.45	$361.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $170.18 / $232.44 / $268.14	Facility		$170.18	$232.44	$268.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.93 / $239.11 / $373.57	Professional		$190.93	$239.11	$373.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.03 / $305.50 / $305.50	Facility		$235.03	$305.50	$305.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.27 / $284.56 / $525.50	Professional		$192.27	$284.56	$525.50
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 $245.32 / $355.42 / $528.92	Professional		$245.32	$355.42	$528.92