Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $26.41 / $47.10	Facility		$18.55	$26.41	$47.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $26.41 / $36.25	Professional		$18.55	$26.41	$36.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.07 / $23.53 / $34.81	Professional		$13.07	$23.53	$34.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.50 / $24.01 / $28.34	Facility		$17.50	$24.01	$28.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $24.87 / $42.62	Professional		$19.72	$24.87	$42.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.56 / $31.56 / $36.22	Facility		$31.56	$31.56	$36.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $32.45 / $56.29	Professional		$19.16	$32.45	$56.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $36.31 / $51.28	Professional		$22.90	$36.31	$51.28