Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $91.85 / $8,229.00	Facility		$69.89	$91.85	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $84.39 / $106.95	Professional		$69.89	$84.39	$106.95
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 $58.13 / $82.67 / $117.21	Professional		$58.13	$82.67	$117.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.06 / $95.84 / $110.56	Facility		$70.06	$95.84	$110.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $96.03 / $154.04	Professional		$74.95	$96.03	$154.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $125.97 / $125.97	Facility		$89.00	$125.97	$125.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $111.08 / $171.87	Professional		$80.68	$111.08	$171.87
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 $81.23 / $120.66 / $178.35	Professional		$81.23	$120.66	$178.35