Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.68 / $177.60 / $3,160.50	Facility		$53.68	$177.60	$3,160.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.35 / $97.05 / $173.01	Professional		$49.35	$97.05	$173.01
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 $51.95 / $61.97 / $79.94	Professional		$51.95	$61.97	$79.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.82 / $68.40 / $85.51	Facility		$47.82	$68.40	$85.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $70.27 / $166.58	Professional		$53.75	$70.27	$166.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.90 / $89.90 / $89.90	Facility		$89.90	$89.90	$89.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $124.34 / $231.67	Professional		$66.29	$124.34	$231.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $40.10 / $107.11	Professional		$32.34	$40.10	$107.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.29 / $153.81 / $221.57	Professional		$111.29	$153.81	$221.57