Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.86 / $22.86 / $146.00	Facility		$22.86	$22.86	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.30 / $22.86 / $34.24	Professional		$18.30	$22.86	$34.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.25 / $92.96 / $137.19	Professional		$82.25	$92.96	$137.19
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 $36.89 / $36.89 / $36.89	Professional		$36.89	$36.89	$36.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $60.00	Professional		$50.00	$60.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $67.00 / $107.88	Professional		$54.00	$67.00	$107.88