Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $157.37 / $157.37	Facility		$74.06	$157.37	$157.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $74.06 / $78.68	Professional		$74.06	$74.06	$78.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.71 / $96.43 / $96.43	Facility		$88.71	$96.43	$96.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $77.14 / $81.77	Professional		$77.14	$77.14	$81.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.55 / $26,249.74 / $47,999.52	Facility		$154.55	$26,249.74	$47,999.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47,249.53 / $48,999.51 / $50,749.49	Professional		$47,249.53	$48,999.51	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $81.77 / $111.41	Professional		$81.77	$81.77	$111.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.57 / $92.57 / $95.35	Professional		$92.57	$92.57	$95.35