Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $65.92 / $3,740.00	Facility		$29.24	$65.92	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $58.01 / $74.87	Professional		$26.53	$58.01	$74.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $45.47 / $67.78	Professional		$21.53	$45.47	$67.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.60 / $34.82 / $40.64	Facility		$28.60	$34.82	$40.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $44.85 / $123.58	Professional		$30.61	$44.85	$123.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $51.58 / $51.58	Facility		$51.58	$51.58	$51.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $64.77 / $125.76	Professional		$28.98	$64.77	$125.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.33	Professional		$32.34	$32.34	$80.33
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 $60.04 / $80.98 / $113.07	Professional		$60.04	$80.98	$113.07