Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.08 / $73.55 / $3,740.00	Facility		$42.08	$73.55	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.08 / $62.23 / $82.73	Professional		$42.08	$62.23	$82.73
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 $40.74 / $54.35 / $89.60	Professional		$40.74	$54.35	$89.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.43 / $56.56 / $66.03	Facility		$46.43	$56.56	$66.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $66.03 / $144.40	Professional		$49.68	$66.03	$144.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.79 / $83.79 / $83.79	Facility		$83.79	$83.79	$83.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.91 / $74.58 / $145.63	Professional		$46.91	$74.58	$145.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $93.86	Professional		$32.34	$32.34	$93.86
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 $66.50 / $85.33 / $154.93	Professional		$66.50	$85.33	$154.93