Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.60 / $15.60 / $84.00	Facility		$15.60	$15.60	$84.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $30.48 / $35.90	Professional		$15.60	$30.48	$35.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $16.51 / $34.51	Professional		$12.91	$16.51	$34.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $546.49 / $12,249.87	Facility		$35.09	$546.49	$12,249.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $546.50 / $1,000.13	Professional		$32.14	$546.50	$1,000.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $39.43 / $39.43	Facility		$39.43	$39.43	$39.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.48 / $155.93 / $155.93	Professional		$23.48	$155.93	$155.93
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 $27.85 / $37.60 / $73.04	Professional		$27.85	$37.60	$73.04