Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.89 / $88.88 / $3,740.00	Facility		$74.89	$88.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $85.57 / $105.30	Professional		$71.88	$85.57	$105.30
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 $57.86 / $68.08 / $97.14	Professional		$57.86	$68.08	$97.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.92 / $88.69 / $104.34	Facility		$55.92	$88.69	$104.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.13 / $91.29 / $146.72	Professional		$71.13	$91.29	$146.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.74 / $67.50 / $119.99	Facility		$44.74	$67.50	$119.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.55 / $94.50 / $332.10	Professional		$63.55	$94.50	$332.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.60 / $32.34 / $40.05	Professional		$29.60	$32.34	$40.05
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $83.45 / $166.49	Professional		$69.26	$83.45	$166.49