Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $400.00 / $3,740.00	Facility		$38.90	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.00 / $50.85	Professional		$38.90	$42.00	$50.85
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 $39.20 / $47.15 / $72.09	Professional		$39.20	$47.15	$72.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $51.29 / $59.89	Facility		$42.13	$51.29	$59.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $57.82 / $82.60	Professional		$37.56	$57.82	$82.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $51.02 / $94.03	Facility		$51.02	$51.02	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $58.39 / $143.09	Professional		$40.20	$58.39	$143.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $53.69	Professional		$32.34	$32.34	$53.69
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 $40.13 / $51.82 / $97.30	Professional		$40.13	$51.82	$97.30