Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.92 / $51.05 / $62.72	Facility		$41.92	$51.05	$62.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.08 / $43.33 / $48.18	Professional		$40.08	$43.33	$48.18
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 $43.65 / $52.90 / $80.90	Professional		$43.65	$52.90	$80.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $64.97 / $74.95	Facility		$47.34	$64.97	$74.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $64.97 / $92.82	Professional		$46.41	$64.97	$92.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $56.94 / $61.80	Facility		$56.94	$56.94	$61.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.81 / $69.54 / $109.45	Professional		$49.81	$69.54	$109.45
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 $45.72 / $68.20 / $100.13	Professional		$45.72	$68.20	$100.13