Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.61 / $52.61 / $52.61	Facility		$52.61	$52.61	$52.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.82 / $104.82 / $104.82	Professional		$104.82	$104.82	$104.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,013.00 / $3,389.00 / $3,766.00	Facility		$3,013.00	$3,389.00	$3,766.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.26 / $65.62 / $316.37	Professional		$48.26	$65.62	$316.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $66.95 / $77.25	Facility		$48.79	$66.95	$77.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.75 / $66.95 / $95.66	Professional		$46.75	$66.95	$95.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $401.01 / $401.01 / $461.31	Professional		$401.01	$401.01	$461.31
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 Professional Modifier Low / Median / High Price $50.40 / $122.06 / $280.36	Professional		$50.40	$122.06	$280.36