Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.52 / $71.52 / $151.97	Facility		$71.52	$71.52	$151.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.52 / $71.52 / $74.20	Professional		$71.52	$71.52	$74.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.34 / $87.85 / $87.91	Facility		$84.34	$87.85	$87.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $74.50 / $74.50	Professional		$63.32	$74.50	$74.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.85 / $41,999.58 / $62,999.37	Facility		$147.85	$41,999.58	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $109.52 / $162.63	Professional		$75.98	$109.52	$162.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $113.54 / $113.54	Professional		$75.98	$113.54	$113.54
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 $74.50 / $74.50 / $74.50	Professional		$74.50	$74.50	$74.50