Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $2,630.27 / $8,511.38	Facility		$181.97	$2,630.27	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $190.55 / $281.84	Professional		$162.18	$190.55	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $10,715.19 / $11,220.18	Facility		$8,912.51	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $257.04	Professional		$147.91	$173.78	$257.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $234.42 / $275.42	Facility		$169.82	$234.42	$275.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $281.84	Professional		$173.78	$239.88	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $316.23 / $316.23	Facility		$34.67	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $323.59 / $870.96	Professional		$194.98	$323.59	$870.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,677.35 / $10,000.00	Facility		$851.14	$4,677.35	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $354.81	Professional		$173.78	$239.88	$354.81