Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.44 / $43.17 / $45.19	Facility		$41.44	$43.17	$45.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $43.17 / $43.77	Professional		$39.65	$43.17	$43.77
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 $14.28 / $39.13 / $61.06	Professional		$14.28	$39.13	$61.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $57.51 / $66.34	Facility		$41.78	$57.51	$66.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $57.51 / $82.16	Professional		$40.15	$57.51	$82.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $72.42	Facility		$51.10	$51.10	$72.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $68.12 / $104.70	Professional		$45.07	$68.12	$104.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.87 / $53.40 / $64.62	Professional		$47.87	$53.40	$64.62
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $597.00 / $3,176.00	Facility		$50.00	$597.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.53 / $61.49 / $89.54	Professional		$42.53	$61.49	$89.54