Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.22 / $787.00 / $8,229.00	Facility		$38.22	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $39.13 / $54.11	Professional		$37.99	$39.13	$54.11
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 $40.90 / $49.56 / $75.59	Professional		$40.90	$49.56	$75.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.51 / $51.62 / $59.55	Facility		$37.51	$51.62	$59.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $51.62 / $73.73	Professional		$36.04	$51.62	$73.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.47 / $44.47 / $44.47	Facility		$44.47	$44.47	$44.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $60.35 / $97.46	Professional		$39.17	$60.35	$97.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $41.58	Professional		$32.34	$32.34	$41.58
United Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $100.00 / $3,176.00	Facility		$59.00	$100.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.93 / $58.58 / $82.95	Professional		$37.93	$58.58	$82.95