Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.78 / $191.99 / $3,740.00	Facility		$47.78	$191.99	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.32 / $154.25 / $179.49	Professional		$42.32	$154.25	$179.49
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 $38.36 / $129.53 / $222.05	Professional		$38.36	$129.53	$222.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $63.71 / $73.48	Facility		$46.42	$63.71	$73.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $65.98 / $240.17	Professional		$52.34	$65.98	$240.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.74 / $83.74 / $83.74	Facility		$83.74	$83.74	$83.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $205.40 / $351.70	Professional		$54.75	$205.40	$351.70
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 $170.24 / $266.50 / $360.57	Professional		$170.24	$266.50	$360.57