Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $261.58 / $8,229.00	Facility		$114.57	$261.58	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $195.80 / $271.45	Professional		$114.57	$195.80	$271.45
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 $99.21 / $149.76 / $266.16	Professional		$99.21	$149.76	$266.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $155.06 / $178.89	Facility		$112.98	$155.06	$178.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $124.05 / $160.60 / $282.48	Professional		$124.05	$160.60	$282.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.80 / $203.80 / $203.80	Facility		$203.80	$203.80	$203.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.33 / $201.75 / $376.01	Professional		$122.33	$201.75	$376.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $210.77	Professional		$32.34	$32.34	$210.77
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $240.83 / $396.60	Professional		$185.41	$240.83	$396.60