Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $416.00 / $8,229.00	Facility		$33.54	$416.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $34.51 / $60.49	Professional		$33.54	$34.51	$60.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $37.09 / $71.73	Professional		$30.60	$37.09	$71.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $44.66 / $51.53	Facility		$32.54	$44.66	$51.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $44.66 / $63.80	Professional		$31.18	$44.66	$63.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.76 / $39.76 / $42.76	Facility		$39.76	$39.76	$42.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $51.57 / $92.34	Professional		$35.34	$51.57	$92.34
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 $30.93 / $49.20 / $68.61	Professional		$30.93	$49.20	$68.61