Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $96.68 / $2,747.00	Facility		$43.53	$96.68	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.10 / $93.81 / $126.64	Professional		$45.10	$93.81	$126.64
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 $59.97 / $74.42 / $130.00	Professional		$59.97	$74.42	$130.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.95 / $59.61 / $69.59	Facility		$48.95	$59.61	$69.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $67.19 / $79.18	Professional		$47.99	$67.19	$79.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.26 / $88.30 / $88.30	Facility		$75.26	$88.30	$88.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.96 / $97.46 / $187.98	Professional		$53.96	$97.46	$187.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $1,895.00	Facility		$59.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $108.87 / $201.58	Professional		$85.25	$108.87	$201.58