Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.63 / $45.45 / $48.25	Facility		$43.63	$45.45	$48.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $45.45 / $46.10	Professional		$42.09	$45.45	$46.10
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 / $41.60 / $64.97	Professional		$6.97	$41.60	$64.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.65 / $61.40 / $70.83	Facility		$44.65	$61.40	$70.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $61.40 / $87.72	Professional		$43.86	$61.40	$87.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.81 / $53.81 / $75.76	Facility		$53.81	$53.81	$75.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $73.56 / $111.46	Professional		$48.18	$73.56	$111.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $57.02 / $67.60	Professional		$50.08	$57.02	$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 $45.90 / $66.70 / $87.17	Professional		$45.90	$66.70	$87.17