Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.70 / $200.54 / $8,229.00	Facility		$61.70	$200.54	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $107.54 / $200.54	Professional		$61.70	$107.54	$200.54
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 $61.94 / $102.80 / $198.47	Professional		$61.94	$102.80	$198.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $83.27 / $96.06	Facility		$60.67	$83.27	$96.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $85.93 / $213.81	Professional		$65.73	$85.93	$213.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.44 / $109.44 / $109.44	Facility		$109.44	$109.44	$109.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $148.72 / $268.00	Professional		$70.37	$148.72	$268.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $159.05	Professional		$32.34	$32.34	$159.05
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 $121.55 / $168.13 / $280.97	Professional		$121.55	$168.13	$280.97