Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.02 / $32.02 / $46.11	Facility		$32.02	$32.02	$46.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $46.45 / $76.38	Professional		$32.02	$46.45	$76.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $43.67 / $52.44	Professional		$34.03	$43.67	$52.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.47 / $895.76 / $47,249.53	Facility		$61.47	$895.76	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $783.79 / $1,393.05	Professional		$50.50	$783.79	$1,393.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.59 / $68.59 / $68.59	Facility		$68.59	$68.59	$68.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.73 / $230.73 / $230.73	Professional		$230.73	$230.73	$230.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $43.94 / $59.80 / $99.14	Professional		$43.94	$59.80	$99.14