Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.79 / $29.33 / $37.75	Facility		$20.79	$29.33	$37.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $37.11 / $39.97	Professional		$20.79	$37.11	$39.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $40.24 / $50.95	Professional		$39.07	$40.24	$50.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.09 / $701.76 / $45,499.55	Facility		$53.09	$701.76	$45,499.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.71 / $648.04 / $1,185.98	Professional		$52.71	$648.04	$1,185.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $48.09 / $48.09	Facility		$48.09	$48.09	$48.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $201.14 / $201.14	Professional		$201.14	$201.14	$201.14
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 $38.72 / $43.51 / $61.58	Professional		$38.72	$43.51	$61.58