Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.10 / $83.38 / $588.03	Facility		$46.10	$83.38	$588.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $71.20 / $100.52	Professional		$46.10	$71.20	$100.52
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 $34.84 / $66.81 / $106.36	Professional		$34.84	$66.81	$106.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $63.08 / $72.77	Facility		$46.23	$63.08	$72.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $65.34 / $119.20	Professional		$51.82	$65.34	$119.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.91 / $82.91 / $105.94	Facility		$82.91	$82.91	$105.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $84.10 / $153.79	Professional		$50.45	$84.10	$153.79
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 $74.29 / $100.38 / $160.04	Professional		$74.29	$100.38	$160.04