Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.79 / $82.69 / $8,229.00	Facility		$66.79	$82.69	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.79 / $74.68 / $91.67	Professional		$66.79	$74.68	$91.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $884.58 / $2,670.47 / $11,253.00	Facility		$884.58	$2,670.47	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.39 / $74.26 / $103.70	Professional		$62.39	$74.26	$103.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $87.79 / $103.60	Facility		$63.96	$87.79	$103.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.30 / $87.79 / $125.42	Professional		$61.30	$87.79	$125.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.44 / $77.44 / $78.88	Facility		$77.44	$77.44	$78.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.43 / $98.28 / $159.38	Professional		$69.43	$98.28	$159.38
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $100.70 / $136.68	Professional		$66.12	$100.70	$136.68