Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $89.18 / $2,747.00	Facility		$57.24	$89.18	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.24 / $72.20 / $102.74	Professional		$57.24	$72.20	$102.74
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 $46.34 / $59.00 / $89.26	Professional		$46.34	$59.00	$89.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.97 / $90.24 / $104.10	Facility		$62.97	$90.24	$104.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $90.46 / $145.04	Professional		$70.91	$90.46	$145.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.81 / $118.61 / $118.61	Facility		$87.81	$118.61	$118.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.70 / $105.05 / $180.96	Professional		$69.70	$105.05	$180.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $32.34 / $101.79	Professional		$25.90	$32.34	$101.79
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 $80.55 / $115.79 / $192.52	Professional		$80.55	$115.79	$192.52