Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.81 / $535.00 / $5,320.00	Facility		$171.81	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.88 / $323.48 / $513.04	Professional		$166.88	$323.48	$513.04
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 $134.69 / $239.76 / $386.85	Professional		$134.69	$239.76	$386.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.38 / $218.67 / $252.24	Facility		$159.38	$218.67	$252.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $185.87 / $249.90 / $494.37	Professional		$185.87	$249.90	$494.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $287.39 / $287.39 / $287.39	Facility		$287.39	$287.39	$287.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.96 / $352.82 / $659.59	Professional		$187.96	$352.82	$659.59
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 $523.00 / $1,913.00 / $5,301.00	Facility		$523.00	$1,913.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.83 / $452.65 / $661.31	Professional		$312.83	$452.65	$661.31