Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $72.83 / $5,024.25	Facility		$35.61	$72.83	$5,024.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $40.90 / $61.96	Professional		$34.27	$40.90	$61.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $37.29 / $57.83	Facility		$0.02	$37.29	$57.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $41.80 / $42.84	Professional		$36.40	$41.80	$42.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.04 / $127.88 / $127.88	Facility		$105.04	$127.88	$127.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $118.74 / $205.52	Professional		$99.57	$118.74	$205.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.54 / $119.78 / $119.78	Facility		$88.54	$119.78	$119.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.54 / $88.54 / $88.54	Professional		$88.54	$88.54	$88.54
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 $42.84 / $42.84 / $44.13	Professional		$42.84	$42.84	$44.13