Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.05 / $51.66 / $340.28	Facility		$29.05	$51.66	$340.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $38.22 / $68.76	Professional		$25.62	$38.22	$68.76
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 $22.28 / $28.01 / $41.30	Professional		$22.28	$28.01	$41.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.76 / $36.13 / $44.15	Facility		$26.76	$36.13	$44.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $46.68 / $60.00	Professional		$34.79	$46.68	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $49.24 / $49.24	Facility		$42.17	$49.24	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $48.72 / $90.08	Professional		$30.49	$48.72	$90.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $20.50 / $42.86	Professional		$13.60	$20.50	$42.86
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 $36.19 / $50.61 / $76.26	Professional		$36.19	$50.61	$76.26