Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.37 / $88.32 / $110.17	Facility		$64.37	$88.32	$110.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $88.32 / $111.40	Professional		$64.98	$88.32	$111.40
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 $60.86 / $76.20 / $101.60	Professional		$60.86	$76.20	$101.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $99.57 / $114.86	Facility		$68.63	$99.57	$114.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $100.28 / $160.02	Professional		$71.12	$100.28	$160.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.49 / $130.86 / $130.86	Facility		$108.49	$130.86	$130.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.01 / $119.84 / $188.97	Professional		$83.01	$119.84	$188.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $35.39 / $108.81	Professional		$32.34	$35.39	$108.81
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 $92.61 / $127.26 / $201.50	Professional		$92.61	$127.26	$201.50