Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.57 / $172.61 / $1,716.00	Facility		$24.57	$172.61	$1,716.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $35.67 / $52.60	Professional		$20.93	$35.67	$52.60
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 $23.70 / $35.14 / $50.83	Professional		$23.70	$35.14	$50.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $35.54 / $52.71 / $76.23	Professional	50	$35.54	$52.71	$76.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $30.16 / $34.22	Facility		$22.34	$30.16	$34.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $44.54 / $64.78	Professional		$27.93	$44.54	$64.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.42 / $41.11 / $41.11	Facility		$34.42	$41.11	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $39.69 / $80.16	Professional		$23.77	$39.69	$80.16
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 $35.89 / $47.18 / $73.36	Professional		$35.89	$47.18	$73.36