Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $73.15 / $8,229.00	Facility		$40.13	$73.15	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $64.22 / $88.02	Professional		$40.06	$64.22	$88.02
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 $35.19 / $61.60 / $98.12	Professional		$35.19	$61.60	$98.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.75 / $51.80 / $59.76	Facility		$37.75	$51.80	$59.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $53.65 / $102.41	Professional		$37.00	$53.65	$102.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.08 / $68.08 / $70.58	Facility		$68.08	$68.08	$70.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.19 / $79.56 / $135.72	Professional		$46.19	$79.56	$135.72
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 $67.86 / $99.15 / $132.29	Professional		$67.86	$99.15	$132.29