Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $52.55 / $67.30	Facility		$37.19	$52.55	$67.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $52.55 / $68.27	Professional		$39.67	$52.55	$68.27
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 $36.68 / $45.63 / $62.51	Professional		$36.68	$45.63	$62.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $57.61 / $66.45	Facility		$39.88	$57.61	$66.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.15 / $58.02 / $92.59	Professional		$41.15	$58.02	$92.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $75.72 / $75.72	Facility		$66.27	$75.72	$75.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.01 / $73.17 / $119.77	Professional		$50.01	$73.17	$119.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $32.34 / $65.23	Professional		$20.64	$32.34	$65.23
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 $57.17 / $82.05 / $123.25	Professional		$57.17	$82.05	$123.25