Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $1,000.00 / $3,890.45	Facility		$72.44	$1,000.00	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $87.10 / $138.04	Professional		$44.67	$87.10	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $53.70 / $72.44	Professional		$44.67	$53.70	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $72.44	Facility		$43.65	$61.66	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $74.13	Professional		$44.67	$63.10	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $83.18 / $125.89	Facility		$34.67	$83.18	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $489.78	Professional		$57.54	$125.89	$489.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $3,388.44	Facility		$389.05	$954.99	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $177.83	Professional		$47.86	$93.33	$177.83