Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $51.34 / $109.11	Facility		$51.34	$51.34	$109.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $51.34 / $53.27	Professional		$51.34	$51.34	$53.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $70.53 / $70.53	Facility		$66.58	$70.53	$70.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $59.81 / $59.81	Professional		$50.83	$59.81	$59.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $113.04 / $41,999.58 / $62,999.37	Facility		$113.04	$41,999.58	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.20 / $91.97 / $123.16	Professional		$62.20	$91.97	$123.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.55 / $54.55 / $85.00	Facility		$54.55	$54.55	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $54.76 / $81.51	Professional		$54.55	$54.76	$81.51
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 $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42