Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $373.63	Facility		$67.20	$67.20	$373.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $69.72	Professional		$67.20	$67.20	$69.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.03	Facility		$0.02	$0.02	$0.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $57.00 / $57.00	Professional		$42.75	$57.00	$57.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $76.33 / $77.23	Facility		$73.47	$76.33	$77.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.30 / $68.22 / $125,998.74	Professional		$51.30	$68.22	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $85.00	Facility		$71.40	$71.40	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $288.43	Professional		$71.40	$71.40	$288.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $79.80	Professional		$79.80	$79.80	$79.80