Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.52 / $135.34 / $2,747.00	Facility		$85.52	$135.34	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.52 / $114.57 / $140.54	Professional		$85.52	$114.57	$140.54
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 $82.94 / $115.38 / $168.64	Professional		$82.94	$115.38	$168.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.41 / $131.41 / $131.41	Facility		$131.41	$131.41	$131.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.85 / $172.72 / $172.72	Facility		$117.85	$172.72	$172.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $138.88 / $262.64	Professional		$94.75	$138.88	$262.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $171.44	Professional		$32.34	$32.34	$171.44
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 $114.17 / $151.31 / $251.30	Professional		$114.17	$151.31	$251.30