Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $500.00 / $8,229.00	Facility		$238.80	$500.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $246.21 / $341.52	Professional		$216.90	$246.21	$341.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,830.00 / $8,584.00 / $11,253.00	Facility		$5,830.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.50 / $233.91 / $381.09	Professional		$195.50	$233.91	$381.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.51 / $329.12 / $100,236.50	Facility		$233.51	$329.12	$100,236.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.98 / $317.77 / $453.96	Professional		$226.98	$317.77	$453.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $297.22 / $297.22	Facility		$297.22	$297.22	$297.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.23 / $313.52 / $1,358.50	Professional		$215.23	$313.52	$1,358.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $427.71	Professional		$45.00	$45.00	$427.71
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 $208.67 / $297.52 / $682.77	Professional		$208.67	$297.52	$682.77