Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $50.95 / $276.39	Facility		$49.09	$50.95	$276.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.09 / $50.95 / $62.14	Professional		$49.09	$50.95	$62.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $31.92 / $31.92	Professional		$27.13	$31.92	$31.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $102.53 / $41,999.58	Facility		$62.14	$102.53	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $87.00 / $1,152.04	Professional		$68.34	$87.00	$1,152.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.39 / $47.42 / $74.56	Facility		$40.39	$47.42	$74.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $89.31 / $299.51	Professional		$54.13	$89.31	$299.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $68.34	Professional		$26.10	$37.28	$68.34