Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $128.16 / $3,740.00	Facility		$12.67	$128.16	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $25.81 / $31.55	Professional		$12.68	$25.81	$31.55
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 $13.84 / $21.65 / $35.17	Professional		$13.84	$21.65	$35.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.76 / $32.47 / $52.75	Professional	50	$20.76	$32.47	$52.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $18.23 / $20.82	Facility		$13.51	$18.23	$20.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $32.33 / $47.02	Professional		$16.89	$32.33	$47.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $24.86 / $24.86	Facility		$22.80	$24.86	$24.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $27.26 / $54.51	Professional		$14.40	$27.26	$54.51
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 $25.70 / $32.33 / $54.08	Professional		$25.70	$32.33	$54.08