Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.02 / $580.00 / $8,229.00	Facility		$215.02	$580.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.02 / $226.20 / $416.80	Professional		$215.02	$226.20	$416.80
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 $181.64 / $215.20 / $317.74	Professional		$181.64	$215.20	$317.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $248.02 / $307.85 / $109,348.90	Facility		$248.02	$307.85	$109,348.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.83 / $281.72 / $402.46	Professional		$225.83	$281.72	$402.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $247.00 / $247.00 / $247.00	Facility		$247.00	$247.00	$247.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $294.63 / $1,035.24	Professional		$198.33	$294.63	$1,035.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.37 / $252.74 / $347.20	Professional		$187.37	$252.74	$347.20