Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.57 / $397.08 / $8,229.00	Facility		$118.57	$397.08	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $222.96 / $253.36	Professional		$118.57	$222.96	$253.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.39 / $196.51 / $340.91	Professional		$116.39	$196.51	$340.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $183.89 / $212.14	Facility		$133.97	$183.89	$212.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.05 / $183.89 / $262.70	Professional		$151.05	$183.89	$262.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.35 / $241.68 / $241.68	Facility		$137.35	$241.68	$241.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $253.52 / $510.61	Professional		$145.11	$253.52	$510.61
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 $739.00 / $3,828.00 / $8,582.00	Facility		$739.00	$3,828.00	$8,582.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.08 / $275.20 / $522.55	Professional		$173.08	$275.20	$522.55