Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $82.83 / $96.94	Facility		$76.05	$82.83	$96.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $79.62 / $124.77	Professional		$73.58	$79.62	$124.77
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 $70.56 / $85.52 / $146.10	Professional		$70.56	$85.52	$146.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $105.42 / $121.62	Facility		$76.81	$105.42	$121.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.83 / $105.42 / $150.60	Professional		$82.83	$105.42	$150.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.67 / $109.77 / $109.77	Professional		$99.67	$109.77	$109.77
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $107.84 / $146.61	Professional		$70.31	$107.84	$146.61