Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.33 / $95.30 / $508.96	Facility		$70.33	$95.30	$508.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.33 / $91.54 / $95.30	Professional		$70.33	$91.54	$95.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $102.99 / $120.27	Facility		$31.98	$102.99	$120.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $31.98 / $67.94	Professional		$23.98	$31.98	$67.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.43 / $183.09 / $41,999.58	Facility		$114.43	$183.09	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $160.19 / $2,123.88	Professional		$125.87	$160.19	$2,123.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.55 / $87.32 / $137.32	Facility		$57.55	$87.32	$137.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $164.68 / $551.54	Professional		$128.71	$164.68	$551.54
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 $36.02 / $57.18 / $95.30	Professional		$36.02	$57.18	$95.30