Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $683.02 / $8,229.00	Facility		$68.56	$683.02	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $102.07 / $147.13	Professional		$68.56	$102.07	$147.13
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 $57.78 / $90.22 / $154.97	Professional		$57.78	$90.22	$154.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.58 / $87.89 / $103.39	Facility		$63.58	$87.89	$103.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.15 / $92.55 / $151.79	Professional		$74.15	$92.55	$151.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.40 / $118.90 / $118.90	Facility		$60.40	$118.90	$118.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $126.02 / $351.12	Professional		$78.31	$126.02	$351.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $115.40	Professional		$32.34	$32.34	$115.40
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 $99.55 / $133.30 / $217.18	Professional		$99.55	$133.30	$217.18