Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $96.45 / $3,740.00	Facility		$28.39	$96.45	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $34.18 / $57.75	Professional		$25.88	$34.18	$57.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.89 / $31.37 / $52.86	Professional		$25.89	$31.37	$52.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.24 / $37.35 / $43.09	Facility		$27.24	$37.35	$43.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $39.04 / $60.03	Professional		$31.75	$39.04	$60.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $89.59	Facility		$49.09	$49.09	$89.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $49.38 / $79.45	Professional		$31.09	$49.38	$79.45
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 $36.04 / $54.04 / $78.40	Professional		$36.04	$54.04	$78.40