Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.64 / $119.16 / $3,740.00	Facility		$52.64	$119.16	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $83.29 / $148.03	Professional		$47.05	$83.29	$148.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $94.26 / $152.82	Professional		$56.13	$94.26	$152.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $71.51 / $113.41	Facility		$24.35	$71.51	$113.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $27.82 / $129.37	Professional		$19.32	$27.82	$129.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.99 / $93.99 / $98.88	Facility		$93.99	$93.99	$98.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $127.45 / $257.24	Professional		$66.73	$127.45	$257.24
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 $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $154.00 / $196.35	Professional		$96.00	$154.00	$196.35