Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $129.62 / $720.69	Facility		$129.62	$129.62	$720.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $134.47	Professional		$129.62	$129.62	$134.47
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 $67.42 / $77.53 / $89.04	Professional		$67.42	$77.53	$89.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.01 / $27.01 / $27.01	Facility		$27.01	$27.01	$27.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $27.01 / $125,998.74	Professional		$16.39	$27.01	$125,998.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $137.72	Facility		$85.00	$85.00	$137.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $137.72 / $162.02	Professional		$26.36	$137.72	$162.02
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 $153.91 / $153.91 / $153.91	Professional		$153.91	$153.91	$153.91