Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.86 / $400.00 / $8,229.00	Facility		$38.86	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $58.80 / $87.21	Professional		$38.86	$58.80	$87.21
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 $36.77 / $54.73 / $82.26	Professional		$36.77	$54.73	$82.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.85 / $50.58 / $58.35	Facility		$36.85	$50.58	$58.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.99 / $57.81 / $94.61	Professional		$42.99	$57.81	$94.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.48 / $66.48 / $66.48	Facility		$66.48	$66.48	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.67 / $73.23 / $123.98	Professional		$43.67	$73.23	$123.98
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 $57.75 / $83.51 / $128.47	Professional		$57.75	$83.51	$128.47