Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $47.86	Facility		$40.74	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $47.86 / $61.66	Professional		$39.81	$47.86	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $81.28	Professional		$44.67	$52.48	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $63.10 / $74.13	Facility		$43.65	$63.10	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $63.10 / $75.86	Professional		$42.66	$63.10	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $85.11	Facility		$34.67	$67.61	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $331.13	Professional		$52.48	$85.11	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $602.56 / $3,162.28	Facility		$50.12	$602.56	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $100.00	Professional		$44.67	$61.66	$100.00