Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $17.51 / $2,747.00	Facility		$13.85	$17.51	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $16.32 / $21.45	Professional		$13.98	$16.32	$21.45
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 $12.78 / $15.25 / $25.08	Professional		$12.78	$15.25	$25.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.10 / $18.39 / $21.47	Facility		$15.10	$18.39	$21.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $20.88 / $33.58	Professional		$14.48	$20.88	$33.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $27.25 / $27.76	Facility		$27.25	$27.25	$27.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.24 / $19.10 / $39.54	Professional		$15.24	$19.10	$39.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.83 / $32.34 / $32.34	Professional		$21.83	$32.34	$32.34
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 $15.70 / $19.87 / $31.64	Professional		$15.70	$19.87	$31.64