Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $23.58 / $23.58	Facility		$23.58	$23.58	$23.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.07 / $42.09	Professional		$25.12	$35.07	$42.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.81 / $31.94	Professional		$18.39	$23.81	$31.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $752.02 / $41,999.58	Facility		$56.88	$752.02	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.98 / $884.73 / $1,327.10	Professional		$58.98	$884.73	$1,327.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $52.82 / $52.82	Facility		$52.82	$52.82	$52.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.36 / $207.36 / $207.36	Professional		$207.36	$207.36	$207.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $28.99 / $28.99 / $28.99	Facility		$28.99	$28.99	$28.99
United Facility/Professional Professional Modifier Low / Median / High Price $38.44 / $47.72 / $89.84	Professional		$38.44	$47.72	$89.84