Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.42 / $38.97 / $41.09	Facility		$37.42	$38.97	$41.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $38.97 / $39.51	Professional		$36.22	$38.97	$39.51
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 / $35.69 / $55.80	Professional		$6.97	$35.69	$55.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $52.29 / $60.33	Facility		$37.97	$52.29	$60.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.51 / $52.29 / $74.70	Professional		$36.51	$52.29	$74.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.13 / $46.13 / $62.91	Facility		$46.13	$46.13	$62.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.97 / $62.34 / $95.31	Professional		$40.97	$62.34	$95.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $48.56 / $56.13	Professional		$41.58	$48.56	$56.13
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 $38.72 / $57.97 / $81.95	Professional		$38.72	$57.97	$81.95