Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.76 / $69.59 / $70.17	Facility		$56.76	$69.59	$70.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $57.84 / $70.17	Professional		$55.70	$57.84	$70.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,584.00 / $10,099.00 / $11,253.00	Facility		$8,584.00	$10,099.00	$11,253.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $67.91 / $94.20	Professional		$47.94	$67.91	$94.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $47.65 / $91.73	Facility		$36.36	$47.65	$91.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.97 / $42.79 / $88.56	Professional		$32.97	$42.79	$88.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.15 / $80.16 / $80.16	Facility		$69.15	$80.16	$80.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $88.56 / $146.34	Professional		$68.81	$88.56	$146.34
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 $59.59 / $83.13 / $130.22	Professional		$59.59	$83.13	$130.22