Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Facility		$40.74	$40.74	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $42.66 / $63.10	Professional		$37.15	$42.66	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $10,715.19 / $11,220.18	Facility		$3,801.89	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $40.74 / $58.88	Professional		$21.38	$40.74	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $66.07	Facility		$40.74	$56.23	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $57.54 / $67.61	Professional		$37.15	$57.54	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $75.86 / $75.86	Facility		$34.67	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $75.86 / $204.17	Professional		$45.71	$75.86	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $64.57	Professional		$47.86	$50.12	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $58.88 / $87.10	Professional		$39.81	$58.88	$87.10