Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.96 / $113.61 / $2,747.00	Facility		$52.96	$113.61	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $97.60 / $140.47	Professional		$54.13	$97.60	$140.47
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 $54.50 / $75.88 / $124.20	Professional		$54.50	$75.88	$124.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.15 / $70.93 / $82.81	Facility		$58.15	$70.93	$82.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $82.81 / $241.32	Professional		$62.22	$82.81	$241.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $105.08 / $105.08	Facility		$78.59	$105.08	$105.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $101.08 / $205.74	Professional		$59.06	$101.08	$205.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.86	Professional		$32.34	$32.34	$156.86
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $125.69 / $224.21	Professional		$94.57	$125.69	$224.21