Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $35.61 / $212.73	Facility		$20.04	$35.61	$212.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $34.74 / $39.96	Professional		$20.04	$34.74	$39.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $4.59	Facility		$4.59	$4.59	$4.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.90 / $4.59 / $4.59	Professional		$3.90	$4.59	$4.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $570.02 / $1,368.37	Facility		$52.12	$570.02	$1,368.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.94 / $60.80 / $803.91	Professional		$49.94	$60.80	$803.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.23 / $33.79 / $57.31	Facility		$28.23	$33.79	$57.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.47 / $209.33 / $209.33	Professional		$50.47	$209.33	$209.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $100.00 / $100.00	Professional		$45.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $26.06 / $43.43	Professional		$18.80	$26.06	$43.43