Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.74 / $49.08 / $124.25	Facility		$46.74	$49.08	$124.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.74 / $49.08 / $62.13	Professional		$46.74	$49.08	$62.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $80.70 / $80.70	Facility		$74.23	$80.70	$80.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $60.91 / $64.56	Professional		$60.91	$60.91	$64.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.82 / $55.54 / $71.70	Facility		$44.82	$55.54	$71.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.82 / $49.30 / $69.02	Professional		$44.82	$49.30	$69.02
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 $62.13 / $80.04 / $107.74	Professional		$62.13	$80.04	$107.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,000.00 / $3,000.00 / $3,000.00	Professional		$3,000.00	$3,000.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $75.28 / $81.36	Professional		$73.09	$75.28	$81.36