Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $85.11 / $147.91	Facility		$50.12	$85.11	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $50.12 / $61.66	Professional		$40.74	$50.12	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $33.88	Professional		$26.92	$31.62	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $1,122.02 / $46,773.51	Facility		$61.66	$1,122.02	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $1,148.15	Professional		$66.07	$83.18	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $100.00 / $100.00	Facility		$40.74	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $302.00 / $302.00	Professional		$69.18	$302.00	$302.00
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 $26.30 / $37.15 / $61.66	Professional		$26.30	$37.15	$61.66