Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $70.40 / $212.72	Facility		$43.63	$70.40	$212.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $58.21 / $78.87	Professional		$38.76	$58.21	$78.87
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 $39.27 / $56.49 / $83.00	Professional		$39.27	$56.49	$83.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $52.89 / $61.74	Facility		$43.43	$52.89	$61.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.58 / $62.36 / $144.74	Professional		$42.58	$62.36	$144.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $83.49	Facility		$78.34	$78.34	$83.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $67.70 / $127.25	Professional		$44.40	$67.70	$127.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $152.00	Professional		$32.34	$32.34	$152.00
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $1,895.00	Facility		$50.00	$597.00	$1,895.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $75.43 / $139.69	Professional		$57.43	$75.43	$139.69