Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.66 / $283.87 / $318.07	Facility		$200.66	$283.87	$318.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $117.08 / $358.18	Professional		$18.32	$117.08	$358.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.78 / $1.05 / $1.05	Professional		$0.78	$1.05	$1.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $178.20 / $48,999.51	Facility		$25.45	$178.20	$48,999.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $158.90 / $209.39	Professional		$97.50	$158.90	$209.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.82 / $22.99 / $30.33	Facility		$10.82	$22.99	$30.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.38 / $354.38 / $354.38	Professional		$354.38	$354.38	$354.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $110.00 / $110.00	Professional		$66.00	$110.00	$110.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $5.00 / $5.00	Professional		$5.00	$5.00	$5.00