Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.88 / $375.80 / $5,391.72	Facility		$114.88	$375.80	$5,391.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.09 / $169.19 / $271.50	Professional		$108.09	$169.19	$271.50
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 $88.30 / $142.09 / $241.71	Professional		$88.30	$142.09	$241.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.52 / $146.22 / $168.66	Facility		$106.52	$146.22	$168.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.97 / $151.44 / $272.24	Professional		$116.97	$151.44	$272.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.17 / $192.17 / $192.17	Facility		$192.17	$192.17	$192.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.99 / $191.03 / $335.07	Professional		$114.99	$191.03	$335.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $206.00	Professional		$32.34	$32.34	$206.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.61 / $213.97 / $379.58	Professional		$168.61	$213.97	$379.58