Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $42.13 / $234.24	Facility		$42.13	$42.13	$234.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.13 / $42.13 / $42.13	Professional		$42.13	$42.13	$42.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $16.85 / $16.85	Facility		$16.85	$16.85	$16.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $16.85 / $16.85	Professional		$14.32	$16.85	$16.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.13 / $58.98 / $84.26	Facility		$42.13	$58.98	$84.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.08 / $54.77 / $84.26	Professional		$45.08	$54.77	$84.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.38 / $32.14 / $50.56	Facility		$27.38	$32.14	$50.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $46.34 / $203.07	Professional		$21.30	$46.34	$203.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $23.17	Professional		$23.17	$23.17	$23.17
United Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $22.91 / $42.22	Professional		$15.98	$22.91	$42.22