Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.21 / $40.31 / $3,740.00	Facility		$14.21	$40.31	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $28.42 / $44.36	Professional		$15.20	$28.42	$44.36
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 $24.28 / $31.70 / $45.33	Professional		$24.28	$31.70	$45.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.95 / $19.54 / $22.81	Facility		$15.95	$19.54	$22.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $25.52 / $58.70	Professional		$17.07	$25.52	$58.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.94 / $28.94 / $31.38	Facility		$28.94	$28.94	$31.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.87 / $35.36 / $66.20	Professional		$17.87	$35.36	$66.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.15	Professional		$32.34	$32.34	$38.15
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 $29.83 / $40.42 / $65.84	Professional		$29.83	$40.42	$65.84