Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $298.58 / $1,970.19	Facility		$56.01	$298.58	$1,970.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $69.31 / $103.18	Professional		$48.17	$69.31	$103.18
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 $39.47 / $63.56 / $93.60	Professional		$39.47	$63.56	$93.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.94 / $63.24 / $73.83	Facility		$51.94	$63.24	$73.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.03 / $73.83 / $152.34	Professional		$56.03	$73.83	$152.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.84 / $93.69 / $1,111.00	Facility		$83.84	$93.69	$1,111.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.98 / $82.62 / $143.33	Professional		$54.98	$82.62	$143.33
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 $68.13 / $84.81 / $139.68	Professional		$68.13	$84.81	$139.68