Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $213.80	Facility		$34.67	$58.88	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $41.69	Professional		$19.95	$33.88	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Facility		$4.57	$4.57	$4.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $4.57	Professional		$4.57	$4.57	$4.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $660.69 / $41,686.94	Facility		$51.29	$660.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $812.83	Professional		$47.86	$60.26	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $69.18 / $69.18	Facility		$28.18	$69.18	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
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 $18.20 / $26.30 / $43.65	Professional		$18.20	$26.30	$43.65