Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $125.89	Facility		$41.69	$57.54	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $44.67	Professional		$41.69	$41.69	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $17.78	Professional		$16.98	$16.98	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $54.95 / $77.62	Facility		$41.69	$54.95	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $85.11	Professional		$41.69	$52.48	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $67.61 / $67.61	Facility		$27.54	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $204.17 / $204.17	Professional		$41.69	$204.17	$204.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $44.67	Professional		$17.78	$22.91	$44.67