Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.37 / $286.64 / $8,229.00	Facility		$177.37	$286.64	$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 $193.68 / $240.80 / $300.52	Professional		$193.68	$240.80	$300.52
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 / $264.77 / $499.16	Professional		$189.67	$264.77	$499.16
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 $221.84 / $306.54 / $385.31	Professional		$221.84	$306.54	$385.31