Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.37 / $301.99 / $8,229.00	Facility		$230.37	$301.99	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.28 / $230.37 / $281.99	Professional		$225.28	$230.37	$281.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,755.00 / $8,584.00 / $11,253.00	Facility		$4,755.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.58 / $263.66 / $414.70	Professional		$217.58	$263.66	$414.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $228.41 / $311.51 / $359.35	Facility		$228.41	$311.51	$359.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $311.51 / $445.02	Professional		$239.76	$311.51	$445.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.80 / $274.80 / $360.37	Facility		$274.80	$274.80	$360.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.25 / $349.98 / $535.98	Professional		$251.25	$349.98	$535.98
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.98 / $333.89 / $477.99	Professional		$220.98	$333.89	$477.99