Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.41 / $441.77 / $5,320.00	Facility		$164.41	$441.77	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.57 / $295.27 / $441.77	Professional		$159.57	$295.27	$441.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,066.00 / $2,315.00 / $10,277.00	Facility		$1,066.00	$2,315.00	$10,277.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.07 / $296.10 / $487.48	Professional		$148.07	$296.10	$487.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.44 / $209.24 / $241.38	Facility		$152.44	$209.24	$241.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $239.14 / $474.61	Professional		$177.86	$239.14	$474.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.62 / $275.01 / $275.01	Facility		$248.62	$275.01	$275.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.43 / $406.29 / $778.47	Professional		$183.43	$406.29	$778.47
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 $371.74 / $600.86 / $745.56	Professional		$371.74	$600.86	$745.56