Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.86 / $305.08 / $5,320.00	Facility		$103.86	$305.08	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.86 / $144.54 / $168.91	Professional		$103.86	$144.54	$168.91
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 $92.38 / $135.65 / $214.82	Professional		$92.38	$135.65	$214.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.26 / $143.82 / $165.91	Facility		$105.26	$143.82	$165.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $148.96 / $231.14	Professional		$122.25	$148.96	$231.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.02 / $189.02 / $256.88	Facility		$189.02	$189.02	$256.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $188.60 / $298.93	Professional		$118.53	$188.60	$298.93
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 $148.15 / $213.79 / $294.07	Professional		$148.15	$213.79	$294.07