Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.56 / $101.78 / $126.53	Facility		$77.56	$101.78	$126.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.53 / $101.78 / $128.38	Professional		$79.53	$101.78	$128.38
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 $64.63 / $81.55 / $122.27	Professional		$64.63	$81.55	$122.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $121.72 / $140.41	Facility		$84.51	$121.72	$140.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.67 / $122.59 / $195.62	Professional		$95.67	$122.59	$195.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $159.97 / $159.97	Facility		$117.95	$159.97	$159.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $142.44 / $217.94	Professional		$94.81	$142.44	$217.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $149.54	Professional		$32.34	$32.34	$149.54
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 $105.49 / $147.66 / $225.74	Professional		$105.49	$147.66	$225.74