Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $234.24	Facility		$42.13	$42.13	$234.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.57 / $20.57 / $20.57	Facility		$20.57	$20.57	$20.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $20.57 / $21.48	Professional		$17.48	$20.57	$21.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.43 / $76.63 / $1,164.44	Facility		$51.43	$76.63	$1,164.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.57 / $72.00 / $953.87	Professional		$56.57	$72.00	$953.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.43 / $39.25 / $61.72	Facility		$33.43	$39.25	$61.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $73.88 / $247.89	Professional		$42.13	$73.88	$247.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $100.00 / $100.00	Professional		$28.29	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $22.91 / $42.22	Professional		$17.73	$22.91	$42.22