Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $161.66 / $4,833.47	Facility		$108.52	$161.66	$4,833.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $129.05 / $158.49	Professional		$98.20	$129.05	$158.49
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 $84.09 / $112.37 / $171.40	Professional		$84.09	$112.37	$171.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.41 / $146.19 / $168.64	Facility		$107.41	$146.19	$168.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $149.10 / $234.95	Professional		$120.08	$149.10	$234.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $192.13 / $192.13	Facility		$147.68	$192.13	$192.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.76 / $150.30 / $275.54	Professional		$107.76	$150.30	$275.54
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 / $3,086.00 / $6,359.06	Facility		$599.00	$3,086.00	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $115.60 / $163.06 / $253.30	Professional		$115.60	$163.06	$253.30