Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $24.91 / $71.97	Facility		$15.53	$24.91	$71.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $28.23 / $71.97	Professional		$16.92	$28.23	$71.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $38.38 / $56.60	Professional		$19.93	$38.38	$56.60
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $29.90 / $57.57 / $84.90	Professional	50	$29.90	$57.57	$84.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $23.24 / $29.05	Facility		$16.55	$23.24	$29.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $23.38 / $40.86	Professional		$16.23	$23.38	$40.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.54 / $30.54 / $70.87	Facility		$30.54	$30.54	$70.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $50.45 / $98.04	Professional		$23.49	$50.45	$98.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $32.34 / $34.49	Professional		$10.69	$32.34	$34.49
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 $29.49 / $54.56 / $79.66	Professional		$29.49	$54.56	$79.66