Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $57.60 / $3,740.00	Facility		$23.10	$57.60	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.16 / $44.34 / $56.35	Professional		$24.16	$44.34	$56.35
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 $26.89 / $37.53 / $59.45	Professional		$26.89	$37.53	$59.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.46 / $31.22 / $36.44	Facility		$25.46	$31.22	$36.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.13 / $36.44 / $104.72	Professional		$25.13	$36.44	$104.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $46.24 / $46.24	Facility		$43.87	$46.24	$46.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $47.15 / $86.78	Professional		$26.73	$47.15	$86.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.50 / $56.36 / $88.48	Professional		$44.50	$56.36	$88.48