Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.33 / $49.70 / $469.20	Facility		$47.33	$49.70	$469.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.33 / $49.70 / $220.80	Professional		$47.33	$49.70	$220.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $68.00 / $68.00	Facility		$62.56	$68.00	$68.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $230.00 / $230.00	Professional		$57.66	$230.00	$230.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $63.55 / $72.62	Facility		$45.39	$63.55	$72.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.61 / $49.93 / $67.95	Professional		$44.61	$49.93	$67.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $85.00 / $85.00	Facility		$57.66	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $93.80	Professional		$57.66	$57.66	$93.80
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 $276.00 / $284.27 / $307.25	Professional		$276.00	$284.27	$307.25