Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $235.08	Facility		$42.28	$42.28	$235.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $16.91 / $16.91	Facility		$16.91	$16.91	$16.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $16.91 / $16.91	Professional		$14.37	$16.91	$16.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $63.00 / $959.43	Facility		$42.28	$63.00	$959.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $59.19 / $785.93	Professional		$46.51	$59.19	$785.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $32.26 / $50.74	Facility		$27.48	$32.26	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $60.71 / $203.79	Professional		$42.28	$60.71	$203.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $100.00 / $100.00	Professional		$23.25	$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