Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.08 / $153.07 / $305.83	Facility		$26.08	$153.07	$305.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $30.46 / $50.07	Professional		$26.75	$30.46	$50.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $1,991.00 / $2,894.00	Facility		$1,041.00	$1,991.00	$2,894.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $46.39 / $104.60	Professional		$34.79	$46.39	$104.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.30 / $33.19 / $39.17	Facility		$23.30	$33.19	$39.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.18 / $33.19 / $47.42	Professional		$23.18	$33.19	$47.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $29.64 / $325.60	Facility		$29.64	$29.64	$325.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $54.87 / $145.38	Professional		$27.00	$54.87	$145.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $32.34 / $46.10	Professional		$30.82	$32.34	$46.10
United Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $50.76 / $67.09	Professional		$28.06	$50.76	$67.09