Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $64.57 / $112.20	Facility		$38.02	$64.57	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $44.67	Professional		$30.90	$37.15	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $54.95	Professional		$46.77	$54.95	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $707.95 / $41,686.94	Facility		$54.95	$707.95	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $66.07 / $870.96	Professional		$51.29	$66.07	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $75.86 / $75.86	Facility		$30.90	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $229.09 / $229.09	Professional		$54.95	$229.09	$229.09
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 $19.95 / $28.18 / $46.77	Professional		$19.95	$28.18	$46.77