Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $15.42	Facility		$15.42	$15.42	$15.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $27.94 / $192.00	Professional		$18.80	$27.94	$192.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $64.34 / $75.70	Professional		$29.82	$64.34	$75.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.54 / $469.39 / $41,999.58	Facility		$36.54	$469.39	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $548.30 / $822.47	Professional		$36.54	$548.30	$822.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.18 / $137.18 / $137.18	Professional		$137.18	$137.18	$137.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $28.94 / $41.12	Professional		$24.30	$28.94	$41.12