Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $191.72 / $3,740.00	Facility		$53.09	$191.72	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $94.72 / $172.19	Professional		$51.31	$94.72	$172.19
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 $48.66 / $81.13 / $128.46	Professional		$48.66	$81.13	$128.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $67.56 / $77.94	Facility		$49.22	$67.56	$77.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.09 / $69.98 / $133.72	Professional		$53.09	$69.98	$133.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.80 / $88.80 / $115.07	Facility		$88.80	$88.80	$115.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.55 / $111.71 / $208.46	Professional		$62.55	$111.71	$208.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $142.86 / $182.78	Professional		$93.34	$142.86	$182.78