Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $107.15 / $190.55	Facility		$64.57	$107.15	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $63.10 / $75.86	Professional		$52.48	$63.10	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $31.62	Professional		$26.92	$31.62	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $1,148.15 / $41,686.94	Facility		$93.33	$1,148.15	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $109.65 / $1,479.11	Professional		$87.10	$109.65	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $125.89	Facility		$51.29	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $79.43	Professional		$33.11	$47.86	$79.43