Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $53.50 / $97.62	Facility		$53.50	$53.50	$97.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $97.62 / $123.03	Professional		$42.39	$97.62	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $17.35 / $23.24	Professional		$12.53	$17.35	$23.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $435.95 / $45,499.55	Facility		$29.92	$435.95	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.92 / $384.18 / $673.16	Professional		$29.92	$384.18	$673.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.56 / $96.56 / $96.56	Facility		$96.56	$96.56	$96.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.59 / $298.13 / $298.13	Professional		$137.59	$298.13	$298.13
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 $88.93 / $123.61 / $212.14	Professional		$88.93	$123.61	$212.14