Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $569.51 / $5,096.70	Facility		$78.13	$569.51	$5,096.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.18 / $307.83 / $504.22	Professional		$66.18	$307.83	$504.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $340.95 / $569.45	Professional		$62.87	$340.95	$569.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.45 / $99.44 / $114.72	Facility		$72.45	$99.44	$114.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.13 / $102.99 / $484.65	Professional		$78.13	$102.99	$484.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.14 / $357.95 / $937.54	Professional		$86.14	$357.95	$937.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.27 / $669.01 / $914.70	Professional		$411.27	$669.01	$914.70