Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.33 / $46.34 / $55.23	Facility		$27.33	$46.34	$55.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $43.28 / $58.45	Professional		$28.94	$43.28	$58.45
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 $29.85 / $35.11 / $49.17	Professional		$29.85	$35.11	$49.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.24 / $40.50 / $50.63	Facility		$28.24	$40.50	$50.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $40.50 / $47.73	Professional		$28.93	$40.50	$47.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.77 / $53.23 / $53.23	Facility		$52.77	$53.23	$53.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $58.18 / $97.78	Professional		$39.27	$58.18	$97.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $32.34 / $65.27	Professional		$9.05	$32.34	$65.27
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 $45.69 / $66.23 / $99.15	Professional		$45.69	$66.23	$99.15