Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $158.49 / $275.42	Facility		$70.79	$158.49	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $91.20	Professional		$64.57	$75.86	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $114.82 / $120.23	Facility		$95.50	$114.82	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $52.48	Professional		$26.92	$31.62	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $1,737.80 / $46,773.51	Facility		$114.82	$1,737.80	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $2,137.96	Professional		$123.03	$154.88	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $181.97 / $181.97	Facility		$74.13	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $549.54 / $549.54	Professional		$131.83	$549.54	$549.54
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 $37.15 / $57.54 / $95.50	Professional		$37.15	$57.54	$95.50