Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.91 / $179.93 / $5,320.00	Facility		$137.91	$179.93	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $141.28 / $169.18	Professional		$124.58	$141.28	$169.18
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 $105.54 / $134.97 / $203.34	Professional		$105.54	$134.97	$203.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.36 / $185.68 / $214.21	Facility		$136.36	$185.68	$214.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $145.88 / $187.01 / $298.42	Professional		$145.88	$187.01	$298.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $244.04 / $244.04	Facility		$166.74	$244.04	$244.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $175.62 / $292.47	Professional		$133.69	$175.62	$292.47
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 $133.06 / $193.90 / $299.48	Professional		$133.06	$193.90	$299.48