Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.71 / $8.93 / $54.15	Facility		$5.71	$8.93	$54.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $8.93 / $10.55	Professional		$5.71	$8.93	$10.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.07 / $67.84 / $77.02	Professional		$27.07	$67.84	$77.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $187.68 / $47,249.53	Facility		$12.88	$187.68	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $164.22 / $291.87	Professional		$10.58	$164.22	$291.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $53.42	Facility		$12.30	$12.30	$53.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $48.34	Professional		$48.34	$48.34	$48.34
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 $7.30 / $9.65 / $13.86	Professional		$7.30	$9.65	$13.86