Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $21.49 / $21.49	Facility		$21.49	$21.49	$21.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $32.15 / $38.63	Professional		$22.90	$32.15	$38.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.85 / $22.51 / $30.06	Professional		$17.85	$22.51	$30.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $731.14 / $41,999.58	Facility		$55.30	$731.14	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $860.16 / $1,290.24	Professional		$57.34	$860.16	$1,290.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $190.20 / $190.20	Professional		$190.20	$190.20	$190.20
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 Professional Modifier Low / Median / High Price $30.83 / $39.21 / $70.91	Professional		$30.83	$39.21	$70.91