Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.16 / $27.25 / $28.41	Facility		$26.16	$27.25	$28.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $27.25 / $27.65	Professional		$24.80	$27.25	$27.65
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 / $24.63 / $38.61	Professional		$14.28	$24.63	$38.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.27 / $36.15 / $41.72	Facility		$26.27	$36.15	$41.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $36.15 / $51.66	Professional		$29.70	$36.15	$51.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.27 / $32.27 / $79.06	Facility		$32.27	$32.27	$79.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $43.88 / $94.55	Professional		$28.89	$43.88	$94.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $54.87 / $70.55	Professional		$52.26	$54.87	$70.55
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 $27.40 / $40.17 / $56.69	Professional		$27.40	$40.17	$56.69