Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.63 / $69.40 / $73.19	Facility		$66.63	$69.40	$73.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $69.40 / $69.80	Professional		$63.72	$69.40	$69.80
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 $6.97 / $62.59 / $97.74	Professional		$6.97	$62.59	$97.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.78 / $93.16 / $107.46	Facility		$67.78	$93.16	$107.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.52 / $93.16 / $133.08	Professional		$72.52	$93.16	$133.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.76 / $81.45 / $81.45	Facility		$75.76	$81.45	$81.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $101.51 / $159.27	Professional		$72.84	$101.51	$159.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $60.09 / $67.60	Professional		$50.08	$60.09	$67.60
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 $68.26 / $98.29 / $150.08	Professional		$68.26	$98.29	$150.08