Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.18 / $400.00 / $5,523.92	Facility		$96.18	$400.00	$5,523.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $132.37 / $177.93	Professional		$96.18	$132.37	$177.93
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 $93.81 / $124.84 / $175.48	Professional		$93.81	$124.84	$175.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.12 / $131.84 / $152.08	Facility		$96.12	$131.84	$152.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $103.59 / $136.55 / $211.88	Professional		$103.59	$136.55	$211.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.27 / $173.27 / $173.27	Facility		$173.27	$173.27	$173.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.31 / $170.10 / $269.19	Professional		$111.31	$170.10	$269.19
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 $130.24 / $194.79 / $274.73	Professional		$130.24	$194.79	$274.73