Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.15 / $81.98 / $2,747.00	Facility		$52.15	$81.98	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $81.72 / $112.17	Professional		$53.75	$81.72	$112.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $83.48 / $126.93	Professional		$42.31	$83.48	$126.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.36 / $67.75 / $78.15	Facility		$49.36	$67.75	$78.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $70.17 / $111.34	Professional		$55.65	$70.17	$111.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.19 / $89.04 / $89.04	Facility		$78.19	$89.04	$89.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.84 / $107.53 / $241.67	Professional		$63.84	$107.53	$241.67
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 $80.91 / $152.51 / $208.45	Professional		$80.91	$152.51	$208.45