Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.48 / $261.70 / $3,740.00	Facility		$165.48	$261.70	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.27 / $172.93 / $249.84	Professional		$140.27	$172.93	$249.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $146.50 / $245.95	Professional		$114.72	$146.50	$245.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.86 / $232.20 / $273.67	Facility		$165.86	$232.20	$273.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $215.62 / $273.61 / $344.98	Professional		$215.62	$273.61	$344.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.07 / $305.18 / $305.18	Facility		$163.07	$305.18	$305.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.35 / $209.46 / $447.20	Professional		$141.35	$209.46	$447.20
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 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $142.56 / $203.27 / $415.77	Professional		$142.56	$203.27	$415.77