Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.07 / $400.00 / $8,229.00	Facility		$45.07	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.78 / $92.95 / $104.83	Professional		$44.78	$92.95	$104.83
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 $43.81 / $53.10 / $77.43	Professional		$43.81	$53.10	$77.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.73 / $62.76 / $72.41	Facility		$45.73	$62.76	$72.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.35 / $71.73 / $141.11	Professional		$53.35	$71.73	$141.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.49 / $82.49 / $82.49	Facility		$82.49	$82.49	$82.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.21 / $110.23 / $215.74	Professional		$53.21	$110.23	$215.74
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $132.13 / $210.75	Professional		$90.04	$132.13	$210.75