Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.29 / $86.29 / $87.97	Facility		$86.29	$86.29	$87.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $85.71 / $111.55	Professional		$65.84	$85.71	$111.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $258.00 / $1,205.00	Facility		$206.00	$258.00	$1,205.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $100.00 / $138.57	Professional		$85.00	$100.00	$138.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.17 / $113.43 / $61,249.39	Facility		$93.17	$113.43	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $101.28 / $162.04	Professional		$28.55	$101.28	$162.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $101.77 / $101.77	Facility		$42.00	$101.77	$101.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $93.18 / $141.56	Professional		$69.98	$93.18	$141.56
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 $67.15 / $81.56 / $136.22	Professional		$67.15	$81.56	$136.22