Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $24.64 / $62.02	Facility		$16.82	$24.64	$62.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $30.15 / $54.43	Professional		$18.80	$30.15	$54.43
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 $22.34 / $30.31 / $41.30	Professional		$22.34	$30.31	$41.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.96 / $25.68 / $32.10	Facility		$17.96	$25.68	$32.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $26.25 / $41.27	Professional		$19.98	$26.25	$41.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.75 / $33.75 / $61.06	Facility		$33.75	$33.75	$61.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.13 / $48.50 / $91.97	Professional		$26.13	$48.50	$91.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $21.08 / $32.34	Professional		$12.21	$21.08	$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 $29.44 / $51.81 / $68.79	Professional		$29.44	$51.81	$68.79