Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.80 / $566.91 / $8,229.00	Facility		$59.80	$566.91	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $138.49 / $193.92	Professional		$59.80	$138.49	$193.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.63 / $118.27 / $201.89	Professional		$56.63	$118.27	$201.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.88 / $79.84 / $91.25	Facility		$55.88	$79.84	$91.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.02 / $81.95 / $196.27	Professional		$63.02	$81.95	$196.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.25 / $104.94 / $104.94	Facility		$78.25	$104.94	$104.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $151.34 / $318.18	Professional		$71.59	$151.34	$318.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $146.36	Professional		$32.34	$32.34	$146.36
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $200.51 / $302.14	Professional		$145.22	$200.51	$302.14