Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $256.08 / $3,366.77	Facility		$59.53	$256.08	$3,366.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $96.76 / $158.68	Professional		$51.35	$96.76	$158.68
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 $62.69 / $110.07 / $185.19	Professional		$62.69	$110.07	$185.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.21 / $73.18 / $86.01	Facility		$54.21	$73.18	$86.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.76 / $115.17 / $167.52	Professional		$67.76	$115.17	$167.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $99.75 / $188.18	Facility		$99.75	$99.75	$188.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $130.12 / $253.27	Professional		$61.11	$130.12	$253.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
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 $103.11 / $149.16 / $217.22	Professional		$103.11	$149.16	$217.22