Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $35.22 / $53.77	Facility		$23.50	$35.22	$53.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.70 / $53.77	Professional		$25.62	$35.70	$53.77
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 $27.03 / $32.50 / $45.45	Professional		$27.03	$32.50	$45.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.52 / $36.20 / $41.76	Facility		$25.52	$36.20	$41.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.10 / $36.89 / $58.19	Professional		$28.10	$36.89	$58.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.58 / $47.58 / $52.94	Facility		$47.58	$47.58	$52.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $56.84 / $95.06	Professional		$35.20	$56.84	$95.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $32.34 / $51.69	Professional		$16.02	$32.34	$51.69
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 $41.30 / $58.85 / $96.02	Professional		$41.30	$58.85	$96.02