Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.77 / $76.79 / $3,740.00	Facility		$42.77	$76.79	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $62.71 / $80.65	Professional		$37.64	$62.71	$80.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,968.00 / $2,894.00	Facility		$1,041.00	$1,968.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.39 / $54.28 / $71.97	Professional		$35.39	$54.28	$71.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.34 / $50.34 / $58.77	Facility		$41.34	$50.34	$58.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.61 / $59.66 / $141.76	Professional		$39.61	$59.66	$141.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.58 / $74.58 / $74.58	Facility		$74.58	$74.58	$74.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.64 / $69.28 / $135.26	Professional		$42.64	$69.28	$135.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $92.14	Professional		$32.34	$32.34	$92.14
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 $63.53 / $87.62 / $127.17	Professional		$63.53	$87.62	$127.17