Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.91 / $400.00 / $3,740.00	Facility		$43.91	$400.00	$3,740.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $8.77 / $8.94 / $13.03	Facility	53	$8.77	$8.94	$13.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $51.70 / $88.65	Professional		$43.91	$51.70	$88.65
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 $42.84 / $54.16 / $80.19	Professional		$42.84	$54.16	$80.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.21 / $56.94 / $67.18	Facility		$41.21	$56.94	$67.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $55.80 / $67.11	Professional		$40.67	$55.80	$67.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $50.58 / $62.15	Facility		$50.58	$50.58	$62.15
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.69 / $9.69 / $9.69	Facility	53	$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $72.03 / $112.16	Professional		$45.33	$72.03	$112.16
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 / $11,156.00	Facility		$50.00	$597.00	$11,156.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.76 / $70.02 / $93.95	Professional		$47.76	$70.02	$93.95