Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $235.96 / $8,229.00	Facility		$151.36	$235.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $172.69 / $235.96	Professional		$151.36	$172.69	$235.96
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 $159.40 / $194.36 / $301.10	Professional		$159.40	$194.36	$301.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.41 / $246.96 / $284.89	Facility		$165.41	$246.96	$284.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $246.96 / $352.80	Professional		$172.43	$246.96	$352.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $217.92 / $217.92 / $291.63	Facility		$217.92	$217.92	$291.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.95 / $278.75 / $393.63	Professional		$189.95	$278.75	$393.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $229.32	Professional		$32.34	$32.34	$229.32
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 $179.62 / $255.56 / $346.54	Professional		$179.62	$255.56	$346.54