Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $90.81 / $280.50	Facility		$21.56	$90.81	$280.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $26.15 / $41.57	Professional		$16.05	$26.15	$41.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $8,584.00 / $11,253.00	Facility		$21.10	$8,584.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $24.85 / $34.04	Professional		$13.54	$24.85	$34.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $19.29 / $22.25	Facility		$13.78	$19.29	$22.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $28.24 / $35.40	Professional		$17.91	$28.24	$35.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $25.36 / $31.43	Facility		$25.36	$25.36	$31.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $32.36 / $68.52	Professional		$16.76	$32.36	$68.52
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 Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,481.00	Facility		$50.00	$668.00	$3,481.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $40.11 / $58.21	Professional		$26.52	$40.11	$58.21