Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.04 / $400.00 / $8,229.00	Facility		$35.04	$400.00	$8,229.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.04 / $43.12 / $63.50	Professional		$35.04	$43.12	$63.50
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 $37.09 / $49.46 / $68.72	Professional		$37.09	$49.46	$68.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $52.56 / $60.63	Facility		$38.39	$52.56	$60.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.93 / $84.47	Professional		$44.67	$52.93	$84.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $62.75 / $98.95	Professional		$42.79	$62.75	$98.95
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 $46.01 / $69.64 / $98.95	Professional		$46.01	$69.64	$98.95