Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.86 / $416.00 / $3,740.00	Facility		$46.86	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.86 / $47.14 / $60.01	Professional		$46.86	$47.14	$60.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $55.93 / $106.34	Professional		$46.15	$55.93	$106.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.45 / $69.23 / $79.88	Facility		$50.45	$69.23	$79.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.91 / $69.23 / $98.92	Professional		$53.91	$69.23	$98.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.14 / $59.14 / $65.79	Facility		$59.14	$59.14	$65.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $77.81 / $120.28	Professional		$54.13	$77.81	$120.28
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 $47.63 / $70.83 / $108.44	Professional		$47.63	$70.83	$108.44