Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $26.75 / $162.24	Facility		$16.27	$26.75	$162.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $26.75 / $30.06	Professional		$16.27	$26.75	$30.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $67.84 / $77.02	Professional		$29.72	$67.84	$77.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $568.96 / $47,249.53	Facility		$39.04	$568.96	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $497.84 / $884.81	Professional		$32.07	$497.84	$884.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $34.97 / $439.62	Facility		$34.97	$34.97	$439.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $146.58 / $146.58	Professional		$146.58	$146.58	$146.58
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 $22.14 / $26.21 / $40.92	Professional		$22.14	$26.21	$40.92