Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.37 / $260.00 / $8,229.00	Facility		$193.37	$260.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.37 / $196.06 / $264.02	Professional		$193.37	$196.06	$264.02
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 $223.37 / $292.70 / $109,348.90	Facility		$223.37	$292.70	$109,348.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $199.35 / $253.72 / $362.46	Professional		$199.35	$253.72	$362.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.44 / $222.44 / $222.44	Facility		$222.44	$222.44	$222.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.71 / $290.51 / $932.33	Professional		$181.71	$290.51	$932.33
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 $154.40 / $235.71 / $347.20	Professional		$154.40	$235.71	$347.20