Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.85 / $787.00 / $8,229.00	Facility		$37.85	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $39.11 / $47.76	Professional		$37.68	$39.11	$47.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $42.32 / $58.20	Professional		$34.92	$42.32	$58.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $48.45 / $55.90	Facility		$35.29	$48.45	$55.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.07 / $48.45 / $69.22	Professional		$38.07	$48.45	$69.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.22 / $43.10 / $43.10	Facility		$40.22	$43.10	$43.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.45 / $55.31 / $83.56	Professional		$37.45	$55.31	$83.56
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 $599.00 / $2,723.00 / $6,295.00	Facility		$599.00	$2,723.00	$6,295.00
United Facility/Professional Professional Modifier Low / Median / High Price $37.51 / $54.58 / $76.05	Professional		$37.51	$54.58	$76.05