Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $28.77 / $156.07	Facility		$27.72	$28.77	$156.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $28.07 / $35.09	Professional		$24.56	$28.07	$35.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $31.58 / $36.88	Facility		$19.10	$31.58	$36.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.23 / $19.10 / $19.10	Professional		$16.23	$19.10	$19.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.11 / $460.56 / $1,105.33	Facility		$42.11	$460.56	$1,105.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.35 / $49.13 / $648.04	Professional		$40.35	$49.13	$648.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.81 / $27.30 / $46.30	Facility		$22.81	$27.30	$46.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $169.13 / $169.13	Professional		$40.46	$169.13	$169.13
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 $14.74 / $21.05 / $35.09	Professional		$14.74	$21.05	$35.09