Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.44 / $119.47 / $3,740.00	Facility		$86.44	$119.47	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.19 / $105.80 / $184.62	Professional		$87.19	$105.80	$184.62
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 $74.03 / $87.10 / $127.60	Professional		$74.03	$87.10	$127.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.43 / $142.59 / $168.27	Facility		$98.43	$142.59	$168.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.54 / $142.59 / $207.98	Professional		$112.54	$142.59	$207.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $187.40	Facility		$187.40	$187.40	$187.40
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.28 / $149.47 / $209.45	Professional		$106.28	$149.47	$209.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $61.79 / $129.82	Professional		$32.34	$61.79	$129.82
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 $107.86 / $141.93 / $205.61	Professional		$107.86	$141.93	$205.61