Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $111.89 / $111.89	Facility		$12.12	$111.89	$111.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $40.42 / $126.15	Professional		$12.12	$40.42	$126.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $52.57 / $81.78	Professional		$25.90	$52.57	$81.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $147.10 / $4,491.75	Facility		$20.21	$147.10	$4,491.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $122.58 / $2,224.29	Professional		$20.21	$122.58	$2,224.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.50 / $514.49	Professional		$19.00	$25.50	$514.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $135.32 / $254.19	Professional		$23.82	$135.32	$254.19