Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.27 / $106.87 / $8,229.00	Facility		$75.27	$106.87	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.27 / $99.23 / $118.22	Professional		$75.27	$99.23	$118.22
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 $62.95 / $86.90 / $135.53	Professional		$62.95	$86.90	$135.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.53 / $100.48 / $118.21	Facility		$72.53	$100.48	$118.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.78 / $106.06 / $166.23	Professional		$84.78	$106.06	$166.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $135.94 / $135.94	Facility		$70.06	$135.94	$135.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $129.38 / $204.73	Professional		$89.34	$129.38	$204.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $81.55	Professional		$32.34	$32.34	$81.55
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 $95.92 / $121.10 / $177.54	Professional		$95.92	$121.10	$177.54