Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $100.00	Facility		$67.61	$67.61	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $109.65	Professional		$70.79	$95.50	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $102.33 / $117.49	Professional		$100.00	$102.33	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $100.00 / $154.88	Facility		$10.72	$100.00	$154.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $144.54 / $213.80	Professional		$16.98	$144.54	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $154.88 / $223.87	Facility		$33.11	$154.88	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $128.82 / $676.08	Professional		$81.28	$128.82	$676.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.02 / $120.23	Professional		$9.33	$12.02	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $60.26 / $95.50	Facility		$8.13	$60.26	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $141.25	Professional		$53.70	$91.20	$141.25