Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $325.20 / $5,320.00	Facility		$138.07	$325.20	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $205.22 / $266.24	Professional		$138.07	$205.22	$266.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.31 / $195.87 / $297.62	Professional		$134.31	$195.87	$297.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $188.12 / $217.00	Facility		$137.19	$188.12	$217.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $194.84 / $305.66	Professional		$159.90	$194.84	$305.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.33 / $247.24 / $247.24	Facility		$163.33	$247.24	$247.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.93 / $260.89 / $448.06	Professional		$150.93	$260.89	$448.06
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 $211.11 / $317.66 / $439.51	Professional		$211.11	$317.66	$439.51