Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $1,778.28 / $8,511.38	Facility		$67.61	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $83.18	Professional		$50.12	$56.23	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $112.20	Professional		$67.61	$83.18	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $57.54 / $81.28	Facility		$46.77	$57.54	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $81.28	Professional		$45.71	$63.10	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $93.33 / $93.33	Facility		$34.67	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $346.74	Professional		$52.48	$75.86	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $77.62	Professional		$43.65	$44.67	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,248.07	Facility		$524.81	$1,348.96	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $102.33	Professional		$48.98	$64.57	$102.33