Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $851.14 / $8,511.38	Facility		$58.88	$851.14	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $186.21	Professional		$57.54	$117.49	$186.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,715.19 / $11,220.18	Facility		$5,011.87	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $95.50	Professional		$53.70	$66.07	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $81.28 / $95.50	Facility		$57.54	$81.28	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $97.72	Professional		$58.88	$83.18	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $109.65 / $109.65	Facility		$34.67	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $147.91 / $660.69	Professional		$69.18	$147.91	$660.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $5,248.07	Facility		$524.81	$1,445.44	$5,248.07
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $218.78	Professional		$57.54	$114.82	$218.78