Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.58 / $111.41 / $2,747.00	Facility		$52.58	$111.41	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $92.48 / $136.88	Professional		$54.14	$92.48	$136.88
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 $50.97 / $72.28 / $115.39	Professional		$50.97	$72.28	$115.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $78.11 / $88.97	Facility		$57.86	$78.11	$88.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.33 / $131.99 / $191.98	Professional		$72.33	$131.99	$191.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.25 / $106.46 / $106.46	Facility		$78.25	$106.46	$106.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.95 / $96.80 / $195.62	Professional		$58.95	$96.80	$195.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $155.99	Professional		$32.34	$32.34	$155.99
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 $88.74 / $116.82 / $216.64	Professional		$88.74	$116.82	$216.64