Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.29 / $419.64 / $5,320.00	Facility		$193.29	$419.64	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.05 / $227.70 / $276.42	Professional		$187.05	$227.70	$276.42
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 $168.48 / $222.70 / $319.41	Professional		$168.48	$222.70	$319.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $179.87 / $246.01 / $283.77	Facility		$179.87	$246.01	$283.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $205.31 / $247.77 / $395.37	Professional		$205.31	$247.77	$395.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.91 / $323.32 / $323.32	Facility		$209.91	$323.32	$323.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.86 / $295.69 / $465.91	Professional		$197.86	$295.69	$465.91
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $210.15 / $308.30 / $431.42	Professional		$210.15	$308.30	$431.42