Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $146.15 / $3,740.00	Facility		$45.87	$146.15	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $106.48 / $146.15	Professional		$47.25	$106.48	$146.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $101.67 / $169.56	Professional		$42.12	$101.67	$169.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.71 / $58.38 / $68.90	Facility		$42.71	$58.38	$68.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.70 / $66.72 / $171.29	Professional		$45.70	$66.72	$171.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $76.73 / $76.73	Facility		$76.73	$76.73	$76.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.12 / $135.94 / $260.98	Professional		$53.12	$135.94	$260.98
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 $391.00 / $950.00 / $11,156.00	Facility		$391.00	$950.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $197.98 / $247.23	Professional		$130.79	$197.98	$247.23