Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $120.90 / $3,740.00	Facility		$78.77	$120.90	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.93 / $95.85 / $148.07	Professional		$67.93	$95.85	$148.07
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 $58.08 / $68.33 / $95.82	Professional		$58.08	$68.33	$95.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.51 / $100.25 / $115.65	Facility		$70.51	$100.25	$115.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $102.44 / $161.12	Professional		$78.84	$102.44	$161.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.76 / $131.76 / $131.76	Facility		$131.76	$131.76	$131.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $127.15 / $189.87	Professional		$87.08	$127.15	$189.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $45.86 / $115.28	Professional		$32.34	$45.86	$115.28
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 $100.05 / $142.07 / $211.41	Professional		$100.05	$142.07	$211.41