Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $70.79 / $125.89	Facility		$41.69	$70.79	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $38.02	Professional		$17.38	$20.42	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $75.86 / $41,686.94	Facility		$51.29	$75.86	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $954.99	Professional		$54.95	$69.18	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $83.18 / $83.18	Facility		$33.11	$83.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $245.47 / $245.47	Professional		$58.88	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $100.00	Professional		$28.18	$28.18	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $43.65	Professional		$17.78	$22.91	$43.65