Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $40.75 / $86.60	Facility		$40.75	$40.75	$86.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $40.75 / $43.30	Professional		$40.75	$40.75	$43.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.98 / $47.80 / $65.34	Facility		$43.98	$47.80	$65.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $40.53 / $40.53	Professional		$40.53	$40.53	$40.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $35.75 / $47.66	Facility		$29.79	$35.75	$47.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.79 / $32.77 / $44.62	Professional		$29.79	$32.77	$44.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $43.30 / $43.30	Facility		$28.87	$43.30	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $51.39	Professional		$28.87	$28.87	$51.39
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 $40.53 / $42.96 / $45.56	Professional		$40.53	$42.96	$45.56