Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.46 / $136.13 / $2,747.00	Facility		$62.46	$136.13	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.48 / $119.79 / $206.44	Professional		$61.48	$119.79	$206.44
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 $64.42 / $77.77 / $96.91	Professional		$64.42	$77.77	$96.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.78 / $76.65 / $93.69	Facility		$56.78	$76.65	$93.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.81 / $131.59 / $173.94	Professional		$73.81	$131.59	$173.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.48 / $104.48 / $104.48	Facility		$104.48	$104.48	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.62 / $152.04 / $275.64	Professional		$80.62	$152.04	$275.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $50.33 / $124.25	Professional		$32.34	$50.33	$124.25
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 $131.77 / $189.26 / $278.73	Professional		$131.77	$189.26	$278.73