Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.31 / $131.38 / $164.53	Facility		$85.31	$131.38	$164.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $131.38 / $165.73	Professional		$89.46	$131.38	$165.73
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 $82.81 / $100.74 / $137.01	Professional		$82.81	$100.74	$137.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.51 / $133.13 / $153.60	Facility		$92.51	$133.13	$153.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.61 / $137.90 / $213.98	Professional		$104.61	$137.90	$213.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $141.01 / $174.98 / $174.98	Facility		$141.01	$174.98	$174.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.49 / $169.34 / $286.76	Professional		$113.49	$169.34	$286.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $58.23 / $164.53	Professional		$32.34	$58.23	$164.53
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 $133.49 / $184.54 / $287.44	Professional		$133.49	$184.54	$287.44