Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $258.74 / $8,229.00	Facility		$202.58	$258.74	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.24 / $208.75 / $268.08	Professional		$194.24	$208.75	$268.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,714.14 / $5,213.64 / $11,253.00	Facility		$2,714.14	$5,213.64	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.73 / $223.86 / $301.23	Professional		$184.73	$223.86	$301.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.23 / $272.08 / $313.86	Facility		$198.23	$272.08	$313.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $189.97 / $272.08 / $388.68	Professional		$189.97	$272.08	$388.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $238.55 / $238.55	Facility		$238.55	$238.55	$238.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.73 / $281.00 / $425.33	Professional		$204.73	$281.00	$425.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $213.77	Professional		$32.34	$32.34	$213.77
United Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $2,513.00 / $27,879.00	Facility		$405.00	$2,513.00	$27,879.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.44 / $271.82 / $416.92	Professional		$198.44	$271.82	$416.92