Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.30 / $436.21 / $5,320.00	Facility		$189.30	$436.21	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.31 / $210.76 / $255.43	Professional		$182.31	$210.76	$255.43
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 $167.92 / $217.38 / $324.89	Professional		$167.92	$217.38	$324.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $175.89 / $240.93 / $277.93	Facility		$175.89	$240.93	$277.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $204.79 / $242.65 / $387.20	Professional		$204.79	$242.65	$387.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.64 / $316.64 / $367.30	Facility		$316.64	$316.64	$367.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.82 / $282.00 / $447.71	Professional		$195.82	$282.00	$447.71
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 $194.82 / $275.76 / $411.34	Professional		$194.82	$275.76	$411.34