Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.47 / $36.47 / $77.52	Facility		$36.47	$36.47	$77.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $36.47 / $39.76	Professional		$36.47	$36.47	$39.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.84 / $47.50 / $47.50	Facility		$44.84	$47.50	$47.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $40.28 / $40.28	Professional		$36.47	$40.28	$40.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $87.00 / $55,999.44	Facility		$59.25	$87.00	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $61.94 / $48,999.51	Professional		$41.90	$61.94	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.76 / $38.76 / $38.76	Facility		$38.76	$38.76	$38.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.76 / $38.76 / $45.60	Professional		$38.76	$38.76	$45.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $40.28 / $52.36	Professional		$40.28	$40.28	$52.36
United Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $40.28 / $42.30	Professional		$38.00	$40.28	$42.30