Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $310.06 / $8,229.00	Facility		$127.26	$310.06	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.26 / $146.15 / $188.24	Professional		$127.26	$146.15	$188.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,470.00 / $8,584.00 / $11,253.00	Facility		$5,470.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $148.93 / $257.63	Professional		$122.90	$148.93	$257.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $124.13 / $169.27 / $195.26	Facility		$124.13	$169.27	$195.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $169.27 / $241.82	Professional		$130.19	$169.27	$241.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $148.60 / $148.60 / $370.00	Facility		$148.60	$148.60	$370.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $207.54 / $490.89	Professional		$149.97	$207.54	$490.89
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 $139.06 / $222.03 / $305.01	Professional		$139.06	$222.03	$305.01