Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.44 / $66.84 / $385.75	Facility		$61.44	$66.84	$385.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $69.38 / $83.77	Professional		$55.66	$69.38	$83.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $29.04	Facility		$29.04	$29.04	$29.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $38.15 / $47.70	Professional		$38.15	$38.15	$47.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.02 / $85.39 / $100.77	Facility		$75.02	$85.39	$100.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.14 / $85.39 / $121.98	Professional		$70.14	$85.39	$121.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $3.78 / $106.62	Facility		$1.86	$3.78	$106.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $64.83 / $162.13	Professional		$32.72	$64.83	$162.13
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 $37.24 / $47.81 / $73.55	Professional		$37.24	$47.81	$73.55