Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.17 / $787.00 / $8,229.00	Facility		$49.17	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.17 / $56.80 / $78.15	Professional		$49.17	$56.80	$78.15
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 $45.29 / $54.89 / $83.60	Professional		$45.29	$54.89	$83.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.10 / $61.53 / $73.61	Facility		$45.10	$61.53	$73.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $61.53 / $91.16	Professional		$44.55	$61.53	$91.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.01 / $57.01 / $60.04	Facility		$57.01	$57.01	$60.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.21 / $72.44 / $107.24	Professional		$48.21	$72.44	$107.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $59.25	Professional		$32.34	$32.34	$59.25
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $597.00 / $3,176.00	Facility		$59.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.75 / $69.51 / $105.51	Professional		$47.75	$69.51	$105.51