Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $70.75 / $178.06	Facility		$28.01	$70.75	$178.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $70.75 / $133.82	Professional		$31.14	$70.75	$133.82
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 $28.31 / $33.31 / $47.90	Professional		$28.31	$33.31	$47.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.31 / $44.76 / $51.62	Facility		$31.31	$44.76	$51.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $45.08 / $112.67	Professional		$34.84	$45.08	$112.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $58.82	Facility		$58.82	$58.82	$58.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $128.56 / $223.69	Professional		$43.29	$128.56	$223.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.19 / $32.34 / $100.28	Professional		$22.19	$32.34	$100.28
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.49 / $147.55 / $201.80	Professional		$94.49	$147.55	$201.80