Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.85 / $55.46 / $3,740.00	Facility		$19.85	$55.46	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.52 / $21.89 / $27.71	Professional		$17.52	$21.89	$27.71
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 $19.94 / $26.29 / $38.89	Professional		$19.94	$26.29	$38.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $26.63 / $30.72	Facility		$19.39	$26.63	$30.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $27.33 / $42.80	Professional		$20.92	$27.33	$42.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $52.90	Facility		$35.00	$35.00	$52.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.26 / $35.49 / $55.55	Professional		$22.26	$35.49	$55.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $34.51 / $52.31	Professional		$22.75	$34.51	$52.31