Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $26.86 / $28.66	Facility		$19.04	$26.86	$28.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.04 / $28.66 / $35.61	Professional		$19.04	$28.66	$35.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $70.55 / $74.15	Professional		$33.59	$70.55	$74.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $633.41 / $41,999.58	Facility		$45.70	$633.41	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.09 / $582.62 / $1,035.51	Professional		$38.09	$582.62	$1,035.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.01 / $41.01	Facility		$41.01	$41.01	$41.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.59 / $171.50 / $171.50	Professional		$46.59	$171.50	$171.50
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 Facility Modifier Low / Median / High Price $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $37.19 / $66.06	Professional		$28.26	$37.19	$66.06