Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.87 / $535.00 / $5,320.00	Facility		$19.87	$535.00	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $28.32 / $44.35	Professional		$21.28	$28.32	$44.35
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 $18.76 / $98.06 / $130.75	Professional		$18.76	$98.06	$130.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $36.29 / $54.54	Facility		$23.14	$36.29	$54.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $33.58 / $54.55	Professional		$22.68	$33.58	$54.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Facility		$41.73	$41.73	$41.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.12 / $45.09 / $77.06	Professional		$27.12	$45.09	$77.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $30.58 / $32.34	Professional		$17.57	$30.58	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $47.36 / $67.31	Professional		$32.90	$47.36	$67.31