Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $47.15 / $100.20	Facility		$47.15	$47.15	$100.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $47.15 / $50.10	Professional		$47.15	$47.15	$50.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $61.40 / $73.68	Facility		$56.49	$61.40	$73.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $52.07 / $52.07	Professional		$51.86	$52.07	$52.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.41 / $43,499.57 / $55,999.44	Facility		$98.41	$43,499.57	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43,499.57 / $47,249.53 / $50,749.49	Professional		$43,499.57	$47,249.53	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.07 / $70.00 / $70.00	Facility		$52.07	$70.00	$70.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.07 / $52.07 / $58.94	Professional		$52.07	$52.07	$58.94
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 $58.94 / $58.94 / $65.61	Professional		$58.94	$58.94	$65.61