Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $34.67 / $39.81	Professional		$22.91	$34.67	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.99 / $31.62	Professional		$18.20	$23.99	$31.62
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 $57.54 / $724.44 / $1,288.25	Professional		$57.54	$724.44	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $39.81 / $74.13	Professional		$30.90	$39.81	$74.13