Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.21 / $51.18 / $295.39	Facility		$28.21	$51.18	$295.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $53.13 / $64.15	Professional		$32.60	$53.13	$64.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $19.38 / $19.38	Facility		$19.38	$19.38	$19.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $25.44 / $32.11	Professional		$25.44	$25.44	$32.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $65.13 / $76.86	Facility		$57.22	$65.13	$76.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.47 / $71.64 / $116.35	Professional		$45.47	$71.64	$116.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.42 / $2.88 / $81.65	Facility		$1.42	$2.88	$81.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $41.75 / $124.12	Professional		$21.43	$41.75	$124.12
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 $24.19 / $33.20 / $48.48	Professional		$24.19	$33.20	$48.48