Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $102.75 / $8,229.00	Facility		$56.00	$102.75	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $88.21 / $124.91	Professional		$56.00	$88.21	$124.91
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 $47.90 / $56.36 / $81.98	Professional		$47.90	$56.36	$81.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.64 / $77.22 / $89.09	Facility		$56.64	$77.22	$89.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.64 / $88.26 / $141.33	Professional		$65.64	$88.26	$141.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.09 / $101.49 / $101.49	Facility		$89.09	$101.49	$101.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $104.64 / $210.46	Professional		$58.90	$104.64	$210.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $131.12 / $205.23	Professional		$88.82	$131.12	$205.23