Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.41 / $120.33 / $2,747.00	Facility		$59.41	$120.33	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.85 / $102.90 / $149.15	Professional		$60.85	$102.90	$149.15
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 $67.05 / $91.73 / $149.19	Professional		$67.05	$91.73	$149.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $79.98 / $93.38	Facility		$65.69	$79.98	$93.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $93.38 / $255.88	Professional		$70.00	$93.38	$255.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.27 / $118.50 / $118.50	Facility		$93.27	$118.50	$118.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $122.11 / $228.21	Professional		$68.69	$122.11	$228.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $166.32	Professional		$32.34	$32.34	$166.32
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 $104.66 / $141.29 / $244.52	Professional		$104.66	$141.29	$244.52