Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $64.73 / $1,378.00	Facility		$42.59	$64.73	$1,378.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $52.52 / $76.25	Professional		$38.64	$52.52	$76.25
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 $33.79 / $40.95 / $72.48	Professional		$33.79	$40.95	$72.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.84 / $52.54 / $933.67	Facility		$36.84	$52.54	$933.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $53.86 / $84.44	Professional		$41.28	$53.86	$84.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $320.94	Facility		$69.06	$69.06	$320.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.92 / $62.27 / $319.76	Professional		$38.92	$62.27	$319.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.58 / $32.34 / $32.34	Professional		$21.58	$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 $47.95 / $63.39 / $118.97	Professional		$47.95	$63.39	$118.97