Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.37 / $104.58 / $318.61	Facility		$85.37	$104.58	$318.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.72 / $93.81 / $133.44	Professional		$82.72	$93.81	$133.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $117.58 / $157.88	Professional		$95.77	$117.58	$157.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.10 / $133.10 / $142.33	Facility		$133.10	$133.10	$142.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.93 / $126.29 / $213.91	Professional		$92.93	$126.29	$213.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.40 / $117.40 / $118.45	Facility		$117.40	$117.40	$118.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.65 / $141.80 / $222.51	Professional		$101.65	$141.80	$222.51
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $124.88 / $201.01	Professional		$92.50	$124.88	$201.01