Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.73 / $133.91 / $8,897.01	Facility		$75.73	$133.91	$8,897.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.18 / $81.84 / $99.76	Professional		$73.18	$81.84	$99.76
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 $105.25 / $129.66 / $151.16	Professional		$105.25	$129.66	$151.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.05 / $118.20 / $136.36	Facility		$87.05	$118.20	$136.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.14 / $118.20 / $168.86	Professional		$93.14	$118.20	$168.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $103.90 / $138.04	Facility		$103.90	$103.90	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.07 / $126.99 / $197.56	Professional		$90.07	$126.99	$197.56
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 $82.62 / $112.84 / $179.01	Professional		$82.62	$112.84	$179.01