Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $304.89 / $8,229.00	Facility		$66.77	$304.89	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.29 / $171.53 / $375.25	Professional		$64.29	$171.53	$375.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $125.94 / $198.79	Professional		$56.68	$125.94	$198.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.61 / $82.56 / $97.12	Facility		$59.61	$82.56	$97.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $88.02 / $404.32	Professional		$60.70	$88.02	$404.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $189.09 / $372.95	Professional		$75.31	$189.09	$372.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $127.60	Professional		$32.34	$32.34	$127.60
United Facility/Professional Facility Modifier Low / Median / High Price $391.00 / $1,335.00 / $3,968.00	Facility		$391.00	$1,335.00	$3,968.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.87 / $241.09 / $450.85	Professional		$175.87	$241.09	$450.85