Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.61 / $98.46 / $600.66	Facility		$55.61	$98.46	$600.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.15 / $131.81	Professional		$61.09	$87.15	$131.81
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 $48.79 / $59.04 / $88.20	Professional		$48.79	$59.04	$88.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $87.32 / $100.72	Facility		$61.10	$87.32	$100.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.37 / $87.94 / $140.33	Professional		$62.37	$87.94	$140.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.71 / $114.76 / $114.76	Facility		$87.71	$114.76	$114.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $107.49 / $171.60	Professional		$68.33	$107.49	$171.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $32.34 / $97.94	Professional		$26.66	$32.34	$97.94
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 $81.47 / $112.20 / $171.04	Professional		$81.47	$112.20	$171.04