Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $117.50 / $8,229.00	Facility		$52.67	$117.50	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $109.84 / $139.43	Professional		$52.67	$109.84	$139.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,014.00 / $8,584.00 / $11,253.00	Facility		$4,014.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.25 / $65.73 / $95.29	Professional		$54.25	$65.73	$95.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.72 / $82.78 / $95.49	Facility		$60.72	$82.78	$95.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $94.61 / $248.76	Professional		$70.36	$94.61	$248.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.85 / $108.80 / $108.80	Facility		$103.85	$108.80	$108.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $130.61 / $261.14	Professional		$66.06	$130.61	$261.14
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 $523.00 / $1,450.00 / $5,301.00	Facility		$523.00	$1,450.00	$5,301.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.49 / $167.78 / $268.10	Professional		$115.49	$167.78	$268.10