Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $142.66	Facility		$67.14	$67.14	$142.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $69.65	Professional		$67.14	$67.14	$69.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.67 / $147.78 / $147.78	Facility		$88.67	$147.78	$147.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.52 / $125.32 / $125.32	Professional		$106.52	$125.32	$125.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.15 / $270.69 / $62,999.37	Facility		$66.15	$270.69	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $49.00 / $72.77	Professional		$36.75	$49.00	$72.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.60 / $47.60 / $125.32	Facility		$47.60	$47.60	$125.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $166.70 / $166.70	Professional		$47.60	$166.70	$166.70
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 $46.67 / $46.67 / $46.67	Professional		$46.67	$46.67	$46.67