Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $24.38 / $61.40	Facility		$16.30	$24.38	$61.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.12 / $28.30 / $61.40	Professional		$18.12	$28.30	$61.40
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 $21.28 / $32.21 / $43.90	Professional		$21.28	$32.21	$43.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.20 / $24.46 / $30.57	Facility		$17.20	$24.46	$30.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.22 / $24.63 / $39.31	Professional		$19.22	$24.63	$39.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.14 / $32.14 / $60.46	Facility		$32.14	$32.14	$60.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.84 / $45.44 / $87.29	Professional		$24.84	$45.44	$87.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.04 / $32.34	Professional		$12.02	$23.04	$32.34
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 $29.35 / $52.24 / $72.91	Professional		$29.35	$52.24	$72.91