Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $400.00 / $3,740.00	Facility		$32.59	$400.00	$3,740.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.03 / $68.62 / $118.47	Professional		$36.03	$68.62	$118.47
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 $31.03 / $37.77 / $57.65	Professional		$31.03	$37.77	$57.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $52.54 / $62.02	Facility		$36.35	$52.54	$62.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $54.42 / $133.37	Professional		$41.28	$54.42	$133.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $69.06	Facility		$69.06	$69.06	$69.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $80.06 / $158.55	Professional		$45.04	$80.06	$158.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $100.79	Professional		$32.34	$32.34	$100.79
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 $61.34 / $92.23 / $139.72	Professional		$61.34	$92.23	$139.72