Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $20.68 / $90.00	Facility		$20.68	$20.68	$90.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.57 / $21.83	Professional		$15.85	$19.57	$21.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.86 / $137.12 / $203.31	Professional		$88.86	$137.12	$203.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12,668.82 / $12,668.82 / $15,814.80	Facility		$12,668.82	$12,668.82	$15,814.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Professional		$22.28	$22.28	$22.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $42.00 / $82.23	Professional		$32.00	$42.00	$82.23