Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.83 / $427.50 / $3,740.00	Facility		$157.83	$427.50	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.83 / $214.34 / $300.89	Professional		$157.83	$214.34	$300.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $207.89 / $306.00	Professional		$141.72	$207.89	$306.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $159.05 / $217.18 / $250.53	Facility		$159.05	$217.18	$250.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $178.40 / $222.86 / $349.04	Professional		$178.40	$222.86	$349.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.64 / $285.44 / $285.44	Facility		$211.64	$285.44	$285.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.96 / $281.95 / $437.32	Professional		$174.96	$281.95	$437.32
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.82 / $297.26 / $411.18	Professional		$215.82	$297.26	$411.18