Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.04 / $32.85 / $3,740.00	Facility		$24.04	$32.85	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $27.14 / $34.96	Professional		$21.15	$27.14	$34.96
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 $20.05 / $26.59 / $35.97	Professional		$20.05	$26.59	$35.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $28.63 / $33.42	Facility		$23.48	$28.63	$33.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.05 / $33.35 / $59.72	Professional		$23.05	$33.35	$59.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $42.41 / $42.41	Facility		$42.41	$42.41	$42.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $34.15 / $66.12	Professional		$23.73	$34.15	$66.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $38.82	Professional		$32.34	$32.34	$38.82
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 $28.83 / $37.58 / $58.15	Professional		$28.83	$37.58	$58.15