Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $125.89	Facility		$41.69	$57.54	$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 $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.98 / $24.55	Professional		$14.45	$16.98	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $63.10 / $41,686.94	Facility		$42.66	$63.10	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $794.33	Professional		$45.71	$57.54	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $67.61 / $67.61	Facility		$27.54	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $204.17 / $204.17	Professional		$48.98	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $100.00	Professional		$23.44	$23.44	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $43.65	Professional		$17.78	$22.91	$43.65