Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $68.62 / $112.99	Facility		$48.64	$68.62	$112.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.64 / $81.56 / $112.99	Professional		$48.64	$81.56	$112.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.85 / $267.80 / $295.14	Professional		$200.85	$267.80	$295.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.18 / $1,561.82 / $47,249.53	Facility		$107.18	$1,561.82	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.18 / $1,376.36 / $2,428.86	Professional		$107.18	$1,376.36	$2,428.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.34 / $112.34 / $112.34	Facility		$112.34	$112.34	$112.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $470.87 / $470.87 / $470.87	Professional		$470.87	$470.87	$470.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $97.83 / $147.36	Professional		$75.22	$97.83	$147.36