Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.76 / $224.60 / $5,320.00	Facility		$140.76	$224.60	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.97 / $179.82 / $216.50	Professional		$118.97	$179.82	$216.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.02 / $152.72 / $249.20	Professional		$126.02	$152.72	$249.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $140.62 / $190.93 / $220.25	Facility		$140.62	$190.93	$220.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.46 / $199.59 / $314.44	Professional		$150.46	$199.59	$314.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $206.61 / $250.94 / $250.94	Facility		$206.61	$250.94	$250.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $227.98 / $390.25	Professional		$145.69	$227.98	$390.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $173.20 / $227.16 / $368.01	Professional		$173.20	$227.16	$368.01