Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $55.46 / $5,495.87	Facility		$55.46	$55.46	$5,495.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $55.46 / $57.54	Professional		$55.46	$55.46	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.40 / $78.70 / $109.83	Facility		$72.40	$78.70	$109.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.72 / $66.73 / $66.73	Professional		$56.72	$66.73	$66.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,066.90 / $47,999.52 / $62,999.37	Facility		$6,066.90	$47,999.52	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $43,499.57 / $50,749.49	Professional		$58.93	$43,499.57	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $85.00	Facility		$58.93	$58.93	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $84.67	Professional		$58.93	$58.93	$84.67
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 $57.78 / $57.78 / $61.88	Professional		$57.78	$57.78	$61.88