Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $988.00 / $8,229.00	Facility		$52.93	$988.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $54.35 / $67.59	Professional		$50.73	$54.35	$67.59
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 $68.00 / $81.36 / $118.52	Professional		$68.00	$81.36	$118.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $70.42 / $81.23	Facility		$51.31	$70.42	$81.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $70.42 / $113.18	Professional		$50.30	$70.42	$113.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Facility		$62.14	$62.14	$62.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $66.87 / $111.72	Professional		$51.78	$66.87	$111.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $75.00	Professional		$45.00	$45.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $523.00 / $794.00 / $5,301.00	Facility		$523.00	$794.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $67.70 / $104.97	Professional		$49.92	$67.70	$104.97