Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.08 / $143.00 / $3,740.00	Facility		$57.08	$143.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.94 / $82.63 / $140.49	Professional		$51.94	$82.63	$140.49
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 $53.09 / $66.86 / $120.20	Professional		$53.09	$66.86	$120.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.79 / $76.70 / $90.40	Facility		$54.79	$76.70	$90.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $98.89 / $123.77	Professional		$71.23	$98.89	$123.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $100.81 / $100.81	Facility		$69.78	$100.81	$100.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.19 / $99.79 / $168.30	Professional		$63.19	$99.79	$168.30
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 $391.00 / $950.00 / $3,394.00	Facility		$391.00	$950.00	$3,394.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.98 / $118.85 / $171.63	Professional		$76.98	$118.85	$171.63