Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.22 / $52.71 / $234.47	Facility		$43.22	$52.71	$234.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $48.49 / $52.71	Professional		$41.64	$48.49	$52.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.97 / $4.97 / $4.97	Facility		$4.97	$4.97	$4.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $4.97 / $4.97	Professional		$4.22	$4.97	$4.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.71 / $84.34 / $41,999.58	Facility		$52.71	$84.34	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $73.79 / $977.98	Professional		$57.98	$73.79	$977.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $40.22 / $63.25	Facility		$34.26	$40.22	$63.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.29 / $75.89 / $254.06	Professional		$59.29	$75.89	$254.06
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 $22.14 / $31.63 / $52.71	Professional		$22.14	$31.63	$52.71