Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $416.00 / $3,740.00	Facility		$46.96	$416.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.96 / $53.52 / $69.31	Professional		$46.96	$53.52	$69.31
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 $46.43 / $51.81 / $78.30	Professional		$46.43	$51.81	$78.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.99 / $61.57 / $72.66	Facility		$44.99	$61.57	$72.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $61.57 / $87.96	Professional		$42.99	$61.57	$87.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $54.67 / $60.35	Facility		$54.67	$54.67	$60.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.51 / $67.81 / $111.26	Professional		$49.51	$67.81	$111.26
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 $47.65 / $68.47 / $97.16	Professional		$47.65	$68.47	$97.16