Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $118.14 / $3,740.00	Facility		$47.37	$118.14	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $78.58 / $108.74	Professional		$48.51	$78.58	$108.74
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 $64.88 / $86.51 / $123.13	Professional		$64.88	$86.51	$123.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.38 / $63.79 / $74.47	Facility		$52.38	$63.79	$74.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.05 / $74.61 / $169.66	Professional		$56.05	$74.61	$169.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $94.50 / $94.50	Facility		$91.96	$94.50	$94.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $95.87 / $192.94	Professional		$55.00	$95.87	$192.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $110.28	Professional		$32.34	$32.34	$110.28
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $668.00 / $1,895.00	Facility		$59.00	$668.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.46 / $106.79 / $159.54	Professional		$84.46	$106.79	$159.54