Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $1,778.28 / $8,511.38	Facility		$120.23	$1,778.28	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $165.96	Professional		$97.72	$123.03	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $128.82 / $190.55	Professional		$93.33	$128.82	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $123.03 / $144.54	Facility		$87.10	$123.03	$144.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $125.89 / $147.91	Professional		$97.72	$125.89	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $162.18 / $165.96	Facility		$34.67	$162.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $173.78 / $812.83	Professional		$109.65	$173.78	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $141.25 / $213.80	Professional		$100.00	$141.25	$213.80