Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.50 / $121.59 / $3,740.00	Facility		$81.50	$121.59	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $92.98 / $120.91	Professional		$70.45	$92.98	$120.91
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 $58.08 / $81.51 / $116.98	Professional		$58.08	$81.51	$116.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $111.22 / $129.85	Facility		$91.34	$111.22	$129.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $127.12 / $221.08	Professional		$81.45	$127.12	$221.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.77 / $164.77 / $164.77	Facility		$164.77	$164.77	$164.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.27 / $106.32 / $224.37	Professional		$79.27	$106.32	$224.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.69	Professional		$32.34	$32.34	$143.69
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 $85.50 / $117.70 / $213.88	Professional		$85.50	$117.70	$213.88