Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $53.14 / $2,747.00	Facility		$29.02	$53.14	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.72 / $38.77 / $59.32	Professional		$28.72	$38.77	$59.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $8,584.00 / $11,253.00	Facility		$85.00	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $30.92 / $59.17	Professional		$26.28	$30.92	$59.17
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.42 / $46.38 / $89.80	Professional	50	$39.42	$46.38	$89.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.23 / $36.93 / $933.67	Facility		$26.23	$36.93	$933.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $36.54 / $52.76	Professional		$25.51	$36.54	$52.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $51.47	Facility		$32.22	$32.22	$51.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $53.82 / $134.09	Professional		$27.15	$53.82	$134.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.25 / $32.34 / $32.34	Professional		$21.25	$32.34	$32.34
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.67 / $50.14 / $81.76	Professional		$35.67	$50.14	$81.76