Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.94 / $416.00 / $3,740.00	Facility		$42.94	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.89 / $124.34 / $271.16	Professional		$44.89	$124.34	$271.16
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 $41.32 / $52.64 / $76.38	Professional		$41.32	$52.64	$76.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $66.75 / $83.44	Facility		$46.15	$66.75	$83.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $69.14 / $273.95	Professional		$52.45	$69.14	$273.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.63 / $87.73 / $87.73	Facility		$59.63	$87.73	$87.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.66 / $188.89 / $354.19	Professional		$60.66	$188.89	$354.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $231.26	Professional		$32.34	$32.34	$231.26
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $158.97 / $223.80 / $358.44	Professional		$158.97	$223.80	$358.44