Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.98 / $100.95 / $2,747.00	Facility		$60.98	$100.95	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $85.38 / $104.50	Professional		$60.98	$85.38	$104.50
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 $55.90 / $82.88 / $128.51	Professional		$55.90	$82.88	$128.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.55 / $93.55 / $93.55	Facility		$93.55	$93.55	$93.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.12 / $122.95 / $122.95	Facility		$92.12	$122.95	$122.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $100.60 / $195.07	Professional		$68.15	$100.60	$195.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $128.16	Professional		$32.34	$32.34	$128.16
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 $84.29 / $107.02 / $173.54	Professional		$84.29	$107.02	$173.54