Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.54 / $648.45 / $8,229.00	Facility		$49.54	$648.45	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.54 / $117.07 / $165.10	Professional		$49.54	$117.07	$165.10
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 $44.92 / $94.23 / $203.38	Professional		$44.92	$94.23	$203.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $62.88 / $73.98	Facility		$45.70	$62.88	$73.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $67.05 / $162.37	Professional		$50.60	$67.05	$162.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $85.08 / $85.08	Facility		$39.53	$85.08	$85.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.17 / $133.91 / $366.02	Professional		$53.17	$133.91	$366.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $120.13	Professional		$32.34	$32.34	$120.13
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 $108.64 / $186.81 / $277.14	Professional		$108.64	$186.81	$277.14