Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $160.83 / $3,740.00	Facility		$47.78	$160.83	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.22 / $135.01 / $167.61	Professional		$42.22	$135.01	$167.61
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 $38.11 / $108.39 / $194.05	Professional		$38.11	$108.39	$194.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $63.29 / $73.02	Facility		$46.12	$63.29	$73.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.99 / $65.55 / $217.34	Professional		$51.99	$65.55	$217.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $83.19 / $83.19	Facility		$83.19	$83.19	$83.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $170.89 / $292.23	Professional		$54.37	$170.89	$292.23
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 $137.53 / $216.95 / $303.06	Professional		$137.53	$216.95	$303.06