Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $292.70 / $5,320.00	Facility		$152.63	$292.70	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $201.09 / $292.70	Professional		$166.43	$201.09	$292.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.00 / $2,316.00 / $4,066.00	Facility		$1,258.00	$2,316.00	$4,066.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.96 / $175.84 / $252.48	Professional		$143.96	$175.84	$252.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.25 / $248.95 / $293.77	Facility		$173.25	$248.95	$293.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.82 / $257.37 / $400.10	Professional		$173.82	$257.37	$400.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.74 / $327.19 / $327.19	Facility		$221.74	$327.19	$327.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $298.11 / $431.41	Professional		$204.43	$298.11	$431.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $302.33	Professional		$32.34	$32.34	$302.33
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.02 / $289.33 / $422.28	Professional		$224.02	$289.33	$422.28