Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $98.21 / $5,320.00	Facility		$27.76	$98.21	$5,320.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $39.22 / $65.13	Professional		$30.58	$39.22	$65.13
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 $29.80 / $109.32 / $145.77	Professional		$29.80	$109.32	$145.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $47.43 / $85.17	Facility		$32.26	$47.43	$85.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $44.43 / $70.56	Professional		$34.85	$44.43	$70.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Facility		$58.29	$58.29	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $63.87 / $104.47	Professional		$39.54	$63.87	$104.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.81 / $32.34 / $44.84	Professional		$23.81	$32.34	$44.84
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 $45.99 / $64.02 / $96.15	Professional		$45.99	$64.02	$96.15