Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $23.70 / $2,747.00	Facility		$20.05	$23.70	$2,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.91 / $33.00 / $63.01	Professional		$19.91	$33.00	$63.01
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 $24.76 / $29.95 / $67.27	Professional		$24.76	$29.95	$67.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.14 / $43.69 / $100.90	Professional	50	$37.14	$43.69	$100.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $28.03 / $933.67	Facility		$19.98	$28.03	$933.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.22 / $38.65	Professional		$18.73	$24.22	$38.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.22 / $21.22 / $108.11	Facility		$21.22	$21.22	$108.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $58.57 / $112.11	Professional		$18.50	$58.57	$112.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $32.34 / $32.34	Professional		$23.77	$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 $23.55 / $44.23 / $69.80	Professional		$23.55	$44.23	$69.80