Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $90.86 / $3,740.00	Facility		$54.80	$90.86	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $72.23 / $109.89	Professional		$54.80	$72.23	$109.89
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 $47.30 / $62.78 / $94.34	Professional		$47.30	$62.78	$94.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.99 / $82.46 / $97.93	Facility		$58.99	$82.46	$97.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $85.50 / $136.44	Professional		$66.70	$85.50	$136.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.58 / $111.58 / $111.58	Facility		$111.58	$111.58	$111.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $101.62 / $158.66	Professional		$71.55	$101.62	$158.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.17 / $103.55	Professional		$32.34	$37.17	$103.55
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.28 / $104.83 / $162.33	Professional		$80.28	$104.83	$162.33