Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $29.51 / $223.87	Facility		$20.89	$29.51	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $50.12	Professional		$23.99	$38.02	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $75.86	Professional		$57.54	$67.61	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $741.31 / $45,708.82	Facility		$50.12	$741.31	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $645.65 / $1,148.15	Professional		$41.69	$645.65	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.02 / $58.88	Professional		$29.51	$38.02	$58.88