Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $59.13 / $341.27	Facility		$56.43	$59.13	$341.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.18 / $61.38 / $74.11	Professional		$49.18	$61.38	$74.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.90 / $21.90 / $21.90	Facility		$21.90	$21.90	$21.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $37.01	Professional		$28.80	$28.80	$37.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.30 / $75.45 / $89.04	Facility		$66.30	$75.45	$89.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $75.45 / $107.80	Professional		$61.99	$75.45	$107.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.64 / $3.33 / $94.33	Facility		$1.64	$3.33	$94.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.27 / $48.70 / $143.12	Professional		$27.27	$48.70	$143.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.22 / $38.35 / $61.70	Professional		$29.22	$38.35	$61.70