Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.37 / $277.87 / $8,229.00	Facility		$177.37	$277.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.37 / $203.10 / $263.51	Professional		$177.37	$203.10	$263.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.75 / $235.60 / $294.94	Professional		$187.75	$235.60	$294.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.43 / $235.33 / $271.47	Facility		$172.43	$235.33	$271.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $235.33 / $336.18	Professional		$164.31	$235.33	$336.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.17 / $206.17 / $206.17	Facility		$206.17	$206.17	$206.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.67 / $262.99 / $483.29	Professional		$189.67	$262.99	$483.29
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 $183.77 / $290.32 / $385.31	Professional		$183.77	$290.32	$385.31