Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.68 / $49.06 / $69.97	Facility		$22.68	$49.06	$69.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.68 / $46.04 / $54.94	Professional		$22.68	$46.04	$54.94
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 $26.35 / $42.23 / $66.78	Professional		$26.35	$42.23	$66.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $33.08 / $38.17	Facility		$24.11	$33.08	$38.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $38.58 / $73.72	Professional		$28.12	$38.58	$73.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.48 / $43.48 / $64.98	Facility		$43.48	$43.48	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $54.45 / $97.62	Professional		$32.79	$54.45	$97.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $32.34	Professional		$32.34	$32.34	$32.34
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 $44.46 / $68.92 / $100.35	Professional		$44.46	$68.92	$100.35