Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.27 / $22.95 / $66.83	Facility		$16.27	$22.95	$66.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.27 / $31.83 / $69.16	Professional		$16.27	$31.83	$69.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.19 / $144.29 / $161.82	Professional		$43.19	$144.29	$161.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.98 / $292.95 / $48,999.51	Facility		$18.98	$292.95	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.53 / $292.95 / $442.56	Professional		$19.53	$292.95	$442.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.14 / $39.14 / $39.14	Facility		$39.14	$39.14	$39.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.13 / $162.13 / $162.13	Professional		$162.13	$162.13	$162.13
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 $65.47 / $72.34 / $103.21	Professional		$65.47	$72.34	$103.21