Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $52.62 / $252.00	Facility		$52.62	$52.62	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.44 / $52.62 / $69.83	Professional		$43.44	$52.62	$69.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $103.04 / $152.07	Professional		$90.00	$103.04	$152.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13,010.50 / $13,010.50 / $16,052.30	Facility		$13,010.50	$13,010.50	$16,052.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
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 $50.00 / $92.00 / $190.09	Professional		$50.00	$92.00	$190.09