Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.40 / $114.43 / $508.96	Facility		$90.40	$114.43	$508.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $91.54 / $114.43	Professional		$90.40	$91.54	$114.43
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 $114.43 / $183.09 / $41,999.58	Facility		$114.43	$183.09	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $160.19 / $2,123.88	Professional		$125.87	$160.19	$2,123.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $87.32 / $137.32	Facility		$74.38	$87.32	$137.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.71 / $164.68 / $551.54	Professional		$128.71	$164.68	$551.54
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 $48.06 / $68.66 / $114.43	Professional		$48.06	$68.66	$114.43