Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $165.65 / $2,747.00	Facility		$72.40	$165.65	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $116.64 / $159.66	Professional		$66.48	$116.64	$159.66
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 $75.69 / $133.65 / $218.73	Professional		$75.69	$133.65	$218.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $86.40 / $100.88	Facility		$70.95	$86.40	$100.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.56 / $111.31 / $254.88	Professional		$69.56	$111.31	$254.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $219.93	Facility		$128.01	$128.01	$219.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $155.69 / $298.60	Professional		$78.75	$155.69	$298.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $165.67	Professional		$32.34	$32.34	$165.67
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 $123.69 / $182.47 / $253.43	Professional		$123.69	$182.47	$253.43