Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.50 / $787.00 / $8,229.00	Facility		$39.50	$787.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $44.92 / $55.14	Professional		$39.50	$44.92	$55.14
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 $32.65 / $39.58 / $78.03	Professional		$32.65	$39.58	$78.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $61.59 / $71.04	Facility		$45.20	$61.59	$71.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $61.59 / $87.98	Professional		$48.36	$61.59	$87.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $53.94 / $53.94	Facility		$53.94	$53.94	$53.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $63.52 / $102.68	Professional		$44.91	$63.52	$102.68
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 $43.89 / $66.69 / $96.11	Professional		$43.89	$66.69	$96.11