Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $72.44 / $125.89	Facility		$42.66	$72.44	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $52.48	Professional		$34.67	$42.66	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $5.25	Professional		$5.01	$5.01	$5.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $794.33 / $46,773.51	Facility		$52.48	$794.33	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $70.79 / $977.24	Professional		$56.23	$70.79	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $85.11 / $85.11	Facility		$33.88	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $251.19 / $251.19	Professional		$75.86	$251.19	$251.19
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 $22.39 / $31.62 / $52.48	Professional		$22.39	$31.62	$52.48