Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $35.63 / $212.84	Facility		$21.13	$35.63	$212.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $35.63 / $39.03	Professional		$21.13	$35.63	$39.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $67.84 / $78.26	Professional		$57.67	$67.84	$78.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $738.69 / $47,249.53	Facility		$50.69	$738.69	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $646.35 / $1,148.76	Professional		$41.64	$646.35	$1,148.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.20 / $190.20 / $190.20	Professional		$190.20	$190.20	$190.20
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 $29.04 / $38.78 / $55.43	Professional		$29.04	$38.78	$55.43