Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $76.26 / $80.41	Facility		$73.20	$76.26	$80.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.52 / $76.26 / $77.02	Professional		$70.52	$76.26	$77.02
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 $7.14 / $69.09 / $108.17	Professional		$7.14	$69.09	$108.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.40 / $102.34 / $118.07	Facility		$74.40	$102.34	$118.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $102.34 / $146.19	Professional		$71.45	$102.34	$146.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $89.92 / $89.92	Facility		$75.76	$89.92	$89.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.01 / $112.06 / $175.57	Professional		$76.01	$112.06	$175.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $60.09 / $67.60	Professional		$50.08	$60.09	$67.60
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 $76.59 / $112.72 / $156.72	Professional		$76.59	$112.72	$156.72