Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $89.13 / $154.88	Facility		$52.48	$89.13	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $64.57	Professional		$42.66	$52.48	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.59	Professional		$12.02	$12.02	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,148.15 / $46,773.51	Facility		$64.57	$1,148.15	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $1,202.26	Professional		$69.18	$87.10	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $102.33 / $102.33	Facility		$41.69	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $309.03	Professional		$93.33	$309.03	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,513.56	Professional		$100.00	$100.00	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $64.57	Professional		$26.92	$38.90	$64.57