Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.69 / $360.17 / $8,229.00	Facility		$37.69	$360.17	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.90 / $172.80 / $245.02	Professional		$39.90	$172.80	$245.02
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 $37.04 / $44.90 / $81.88	Professional		$37.04	$44.90	$81.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $55.42 / $65.20	Facility		$40.18	$55.42	$65.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $58.19 / $270.10	Professional		$44.42	$58.19	$270.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.47 / $74.98 / $74.98	Facility		$50.47	$74.98	$74.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.28 / $188.50 / $319.55	Professional		$50.28	$188.50	$319.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.79	Professional		$32.34	$32.34	$196.79
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.83 / $210.60 / $357.96	Professional		$155.83	$210.60	$357.96