Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.09 / $212.11 / $5,320.00	Facility		$160.09	$212.11	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.47 / $182.98 / $220.32	Professional		$149.47	$182.98	$220.32
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 $136.05 / $180.55 / $260.30	Professional		$136.05	$180.55	$260.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.86 / $222.10 / $256.20	Facility		$162.86	$222.10	$256.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $236.27 / $356.94	Professional		$188.78	$236.27	$356.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.01 / $291.89 / $291.89	Facility		$197.01	$291.89	$291.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.79 / $227.78 / $383.63	Professional		$165.79	$227.78	$383.63
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 $177.63 / $257.14 / $391.07	Professional		$177.63	$257.14	$391.07