Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $100.00 / $338.84	Professional		$70.79	$100.00	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $109.65	Professional		$0.02	$0.02	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $1,513.56 / $41,686.94	Facility		$102.33	$1,513.56	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $1,698.24 / $3,019.95	Professional		$134.90	$1,698.24	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $75.86	Professional		$69.18	$69.18	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $70.79	Professional		$60.26	$60.26	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $186.21	Professional		$77.62	$123.03	$186.21