Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.25 / $91.96 / $8,229.00	Facility		$39.25	$91.96	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $78.56 / $109.72	Professional		$41.03	$78.56	$109.72
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 $39.71 / $48.12 / $74.81	Professional		$39.71	$48.12	$74.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $59.44 / $70.06	Facility		$42.46	$59.44	$70.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $95.54 / $121.22	Professional		$55.20	$95.54	$121.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.13 / $78.13 / $98.29	Facility		$78.13	$78.13	$98.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $98.90 / $186.21	Professional		$49.12	$98.90	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $85.26 / $123.76 / $192.10	Professional		$85.26	$123.76	$192.10