Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.75 / $127.02 / $3,740.00	Facility		$39.75	$127.02	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.23 / $62.76 / $113.21	Professional		$43.23	$62.76	$113.21
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 $45.74 / $55.43 / $80.58	Professional		$45.74	$55.43	$80.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.23 / $63.06 / $78.81	Facility		$44.23	$63.06	$78.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $64.52 / $110.68	Professional		$45.04	$64.52	$110.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.87 / $82.87 / $82.87	Facility		$82.87	$82.87	$82.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.13 / $101.77 / $158.94	Professional		$61.13	$101.77	$158.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $34.76 / $70.76	Professional		$32.34	$34.76	$70.76
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 $74.95 / $104.54 / $149.91	Professional		$74.95	$104.54	$149.91