Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.68 / $787.00 / $8,229.00	Facility		$26.68	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.15 / $41.63 / $53.22	Professional		$22.15	$41.63	$53.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,389.00 / $8,584.00 / $11,253.00	Facility		$3,389.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $0.03	Professional		$0.02	$0.03	$0.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.47 / $73.39 / $84.66	Facility		$53.47	$73.39	$84.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.28 / $73.39 / $117.95	Professional		$60.28	$73.39	$117.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.38 / $61.38 / $61.38	Facility		$61.38	$61.38	$61.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $51.10 / $232.32	Professional		$36.18	$51.10	$232.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
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 $21.71 / $31.39 / $44.01	Professional		$21.71	$31.39	$44.01