Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $90.13 / $8,229.00	Facility		$55.92	$90.13	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $71.16 / $90.13	Professional		$55.92	$71.16	$90.13
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 $43.07 / $67.88 / $102.70	Professional		$43.07	$67.88	$102.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $76.37 / $88.10	Facility		$55.64	$76.37	$88.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $77.08 / $122.74	Professional		$54.55	$77.08	$122.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.37 / $100.37 / $100.37	Facility		$100.37	$100.37	$100.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.83 / $85.10 / $148.49	Professional		$57.83	$85.10	$148.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $32.34 / $73.73	Professional		$28.80	$32.34	$73.73
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 $70.09 / $97.44 / $152.25	Professional		$70.09	$97.44	$152.25