Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.67 / $330.13 / $5,320.00	Facility		$174.67	$330.13	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $248.31 / $377.27	Professional		$174.67	$248.31	$377.27
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 $138.38 / $210.88 / $350.95	Professional		$138.38	$210.88	$350.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.18 / $234.95 / $271.04	Facility		$171.18	$234.95	$271.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $184.89 / $243.03 / $397.05	Professional		$184.89	$243.03	$397.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $308.79 / $308.79 / $308.79	Facility		$308.79	$308.79	$308.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $276.81 / $498.41	Professional		$177.37	$276.81	$498.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $300.99	Professional		$32.34	$32.34	$300.99
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.27 / $318.67 / $604.89	Professional		$247.27	$318.67	$604.89