Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $148.22 / $2,747.00	Facility		$80.02	$148.22	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.96 / $132.88 / $182.72	Professional		$82.96	$132.88	$182.72
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 $79.02 / $110.66 / $175.60	Professional		$79.02	$110.66	$175.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.80 / $109.34 / $127.64	Facility		$89.80	$109.34	$127.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.03 / $127.64 / $319.60	Professional		$88.03	$127.64	$319.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.16 / $161.97 / $161.97	Facility		$112.16	$161.97	$161.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $145.44 / $277.25	Professional		$90.46	$145.44	$277.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $207.74	Professional		$32.34	$32.34	$207.74
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 $127.48 / $166.43 / $289.81	Professional		$127.48	$166.43	$289.81