Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $100.59 / $129.31	Facility		$68.83	$100.59	$129.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $100.59 / $129.31	Professional		$71.18	$100.59	$129.31
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 $67.50 / $81.94 / $116.90	Professional		$67.50	$81.94	$116.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.48 / $106.81 / $123.22	Facility		$73.48	$106.81	$123.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.92 / $107.57 / $171.65	Professional		$83.92	$107.57	$171.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.33 / $140.37 / $140.37	Facility		$127.33	$140.37	$140.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.24 / $134.66 / $225.55	Professional		$92.24	$134.66	$225.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $36.70 / $125.42	Professional		$32.34	$36.70	$125.42
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 $102.23 / $145.03 / $223.68	Professional		$102.23	$145.03	$223.68