Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.89 / $39.89 / $84.76	Facility		$39.89	$39.89	$84.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.89 / $39.89 / $41.38	Professional		$39.89	$39.89	$41.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.87 / $49.86 / $49.86	Facility		$45.87	$49.86	$49.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $42.28 / $42.28	Professional		$35.93	$42.28	$42.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $797.70 / $797.70 / $1,435.86	Facility		$797.70	$797.70	$1,435.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $678.05 / $784.06 / $797.70	Professional		$678.05	$784.06	$797.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,048.35 / $1,048.35 / $1,048.35	Facility		$1,048.35	$1,048.35	$1,048.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,384.18 / $4,384.18 / $4,384.18	Professional		$4,384.18	$4,384.18	$4,384.18
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 $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28