Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $39.36 / $83.66	Facility		$39.36	$39.36	$83.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $41.83	Professional		$39.36	$39.36	$41.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.34 / $4.53 / $4.53	Facility		$4.34	$4.53	$4.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $25.72	Professional		$25.72	$25.72	$25.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $47,999.52 / $55,999.44	Facility		$41,999.58	$47,999.52	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43,499.57 / $48,999.51 / $50,749.49	Professional		$43,499.57	$48,999.51	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $64.00	Facility		$21.86	$25.72	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $25.99	Professional		$21.86	$25.72	$25.99
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 $28.58 / $71.44 / $71.44	Professional		$28.58	$71.44	$71.44