Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.20 / $305.05 / $8,229.00	Facility		$200.20	$305.05	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.20 / $229.37 / $296.82	Professional		$200.20	$229.37	$296.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,212.00 / $9,015.00 / $11,253.00	Facility		$7,212.00	$9,015.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.33 / $216.55 / $275.22	Professional		$181.33	$216.55	$275.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $264.66 / $305.29	Facility		$193.80	$264.66	$305.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.04 / $264.66 / $378.08	Professional		$189.04	$264.66	$378.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.50 / $233.50 / $233.50	Facility		$233.50	$233.50	$233.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.18 / $293.81 / $529.98	Professional		$213.18	$293.81	$529.98
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 $207.08 / $326.19 / $460.92	Professional		$207.08	$326.19	$460.92