Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.68 / $373.09 / $5,320.00	Facility		$132.68	$373.09	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.68 / $183.67 / $205.66	Professional		$132.68	$183.67	$205.66
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 $124.79 / $170.37 / $256.52	Professional		$124.79	$170.37	$256.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.38 / $182.52 / $210.54	Facility		$133.38	$182.52	$210.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.93 / $186.98 / $293.33	Professional		$149.93	$186.98	$293.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $314.14	Facility		$239.88	$239.88	$314.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.41 / $236.86 / $367.26	Professional		$151.41	$236.86	$367.26
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 $181.50 / $264.44 / $365.81	Professional		$181.50	$264.44	$365.81