Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.35 / $63.98 / $76.65	Facility		$45.35	$63.98	$76.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.35 / $76.65 / $88.23	Professional		$45.35	$76.65	$88.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $91.29 / $102.24	Professional		$77.59	$91.29	$102.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.57 / $1,786.02 / $47,249.53	Facility		$122.57	$1,786.02	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $1,573.93 / $2,757.83	Professional		$122.57	$1,573.93	$2,757.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.76 / $104.76 / $104.76	Facility		$104.76	$104.76	$104.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $438.09 / $438.09 / $438.09	Professional		$438.09	$438.09	$438.09
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 $75.69 / $88.37 / $125.06	Professional		$75.69	$88.37	$125.06