Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.92 / $557.00 / $5,320.00	Facility		$121.92	$557.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.29 / $165.81 / $200.58	Professional		$107.29	$165.81	$200.58
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 $94.03 / $147.47 / $250.73	Professional		$94.03	$147.47	$250.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $162.54 / $187.51	Facility		$119.53	$162.54	$187.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $138.16 / $178.10 / $364.40	Professional		$138.16	$178.10	$364.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.52 / $213.62 / $213.62	Facility		$152.52	$213.62	$213.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.91 / $204.23 / $389.91	Professional		$124.91	$204.23	$389.91
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 $168.32 / $235.63 / $390.78	Professional		$168.32	$235.63	$390.78