Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $11.39 / $12.00	Facility		$10.93	$11.39	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $11.39 / $11.52	Professional		$10.56	$11.39	$11.52
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 $7.95 / $10.81 / $16.18	Professional		$7.95	$10.81	$16.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.08 / $15.27 / $17.61	Facility		$11.08	$15.27	$17.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $15.27 / $21.82	Professional		$12.55	$15.27	$21.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $13.46 / $75.76	Facility		$13.46	$13.46	$75.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $18.51 / $90.73	Professional		$12.19	$18.51	$90.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.08 / $52.58 / $67.60	Professional		$50.08	$52.58	$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 $11.13 / $16.04 / $23.94	Professional		$11.13	$16.04	$23.94