Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.90 / $89.48 / $3,740.00	Facility		$41.90	$89.48	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $65.43 / $90.00	Professional		$41.01	$65.43	$90.00
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 $37.29 / $62.73 / $99.36	Professional		$37.29	$62.73	$99.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $53.33 / $61.52	Facility		$38.90	$53.33	$61.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.33 / $62.24 / $97.52	Professional		$45.33	$62.24	$97.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.09 / $70.09 / $70.55	Facility		$70.09	$70.09	$70.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $80.70 / $136.25	Professional		$46.53	$80.70	$136.25
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 $68.19 / $100.73 / $132.22	Professional		$68.19	$100.73	$132.22