Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.32 / $299.27 / $8,229.00	Facility		$234.32	$299.27	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.91 / $241.55 / $299.27	Professional		$220.91	$241.55	$299.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,049.25 / $9,122.94 / $15,243.15	Facility		$5,049.25	$9,122.94	$15,243.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.95 / $250.11 / $353.40	Professional		$204.95	$250.11	$353.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.16 / $314.54 / $362.84	Facility		$229.16	$314.54	$362.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $247.14 / $314.54 / $449.34	Professional		$247.14	$314.54	$449.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $276.41 / $276.41	Facility		$276.41	$276.41	$276.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $321.72 / $488.40	Professional		$237.52	$321.72	$488.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $247.14	Professional		$32.34	$32.34	$247.14
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 $231.89 / $315.24 / $481.67	Professional		$231.89	$315.24	$481.67