Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $148.69 / $3,740.00	Facility		$42.43	$148.69	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $76.91 / $123.25	Professional		$36.90	$76.91	$123.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $8,584.00 / $11,253.00	Facility		$3,013.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $47.11 / $68.95	Professional		$38.86	$47.11	$68.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.36 / $87.49 / $100.93	Facility		$64.36	$87.49	$100.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $93.98 / $181.86	Professional		$68.73	$93.98	$181.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.26 / $114.98 / $114.98	Facility		$98.26	$114.98	$114.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.97 / $83.65 / $170.96	Professional		$46.97	$83.65	$170.96
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 $73.19 / $95.29 / $151.61	Professional		$73.19	$95.29	$151.61