Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.32 / $240.45 / $8,229.00	Facility		$165.32	$240.45	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.32 / $188.72 / $240.45	Professional		$165.32	$188.72	$240.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,289.81 / $4,961.39 / $11,253.00	Facility		$2,289.81	$4,961.39	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.81 / $198.25 / $282.86	Professional		$165.81	$198.25	$282.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.40 / $268.31 / $309.51	Facility		$176.40	$268.31	$309.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $258.73 / $383.30	Professional		$191.65	$258.73	$383.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.62 / $235.62 / $297.17	Facility		$235.62	$235.62	$297.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.61 / $289.31 / $399.93	Professional		$202.61	$289.31	$399.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $249.15	Professional		$32.34	$32.34	$249.15
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 $195.34 / $258.87 / $361.00	Professional		$195.34	$258.87	$361.00