Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.14 / $54.14 / $115.06	Facility		$54.14	$54.14	$115.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $56.17	Professional		$54.14	$54.14	$56.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.85 / $66.51 / $66.55	Facility		$63.85	$66.51	$66.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $56.40 / $56.40	Professional		$47.94	$56.40	$56.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.93 / $130.27 / $55,999.44	Facility		$111.93	$130.27	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $82.91 / $123.12	Professional		$57.53	$82.91	$123.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.53 / $57.53 / $57.53	Facility		$57.53	$57.53	$57.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.53 / $85.95 / $85.95	Professional		$57.53	$85.95	$85.95
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 $56.40 / $56.40 / $56.40	Professional		$56.40	$56.40	$56.40