Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.82 / $787.00 / $8,229.00	Facility		$194.82	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.73 / $579.02 / $1,068.69	Professional		$196.73	$579.02	$1,068.69
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 $213.95 / $776.40 / $1,374.69	Professional		$213.95	$776.40	$1,374.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $190.07 / $261.27 / $301.39	Facility		$190.07	$261.27	$301.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $209.01 / $270.60 / $1,040.52	Professional		$209.01	$270.60	$1,040.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $343.38 / $343.38	Facility		$343.38	$343.38	$343.38
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $221.44 / $764.91 / $1,682.94	Professional		$221.44	$764.91	$1,682.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $902.36	Professional		$32.34	$32.34	$902.36
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 $857.79 / $1,286.69 / $1,800.50	Professional		$857.79	$1,286.69	$1,800.50