Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $70.79 / $389.05	Facility		$48.98	$70.79	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $85.11 / $107.15	Professional		$63.10	$85.11	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $64.57	Professional		$48.98	$57.54	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $1,819.70 / $48,977.88	Facility		$109.65	$1,819.70	$48,977.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $1,584.89 / $2,818.38	Professional		$125.89	$1,584.89	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $100.00	Professional		$44.67	$44.67	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $147.91	Professional		$77.62	$91.20	$147.91