Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.86 / $450.54 / $5,320.00	Facility		$167.86	$450.54	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $337.60 / $450.54	Professional		$162.08	$337.60	$450.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,421.00 / $2,745.00 / $10,277.00	Facility		$1,421.00	$2,745.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $297.27 / $473.29	Professional		$151.46	$297.27	$473.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.76 / $213.64 / $246.45	Facility		$155.76	$213.64	$246.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.59 / $244.16 / $491.88	Professional		$181.59	$244.16	$491.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.77 / $280.77 / $325.13	Facility		$280.77	$280.77	$325.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $396.70 / $770.19	Professional		$189.24	$396.70	$770.19
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $380.28 / $546.48 / $739.39	Professional		$380.28	$546.48	$739.39