Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.68 / $364.88 / $3,740.00	Facility		$100.68	$364.88	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $102.72 / $138.16	Professional		$87.01	$102.72	$138.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.00 / $8,584.00 / $11,253.00	Facility		$68.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.58 / $81.09 / $129.94	Professional		$66.58	$81.09	$129.94
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $99.87 / $121.63 / $194.92	Professional	50	$99.87	$121.63	$194.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $120.82 / $142.13	Facility		$89.19	$120.82	$142.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $124.38 / $185.06	Professional		$86.84	$124.38	$185.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.56 / $163.47 / $316.61	Facility		$72.56	$163.47	$316.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $119.70 / $466.19	Professional		$82.77	$119.70	$466.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $32.34 / $37.28	Professional		$27.96	$32.34	$37.28
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 $87.62 / $114.76 / $197.70	Professional		$87.62	$114.76	$197.70