Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $14.05 / $15.00	Facility		$14.05	$14.05	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $17.82	Professional		$14.05	$14.05	$17.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $65.38 / $65.38	Professional		$35.14	$65.38	$65.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $181.12 / $291.80	Facility		$23.49	$181.12	$291.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $191.18 / $241.49 / $321.99	Professional		$191.18	$241.49	$321.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.75 / $10.75 / $64.00	Facility		$10.75	$10.75	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.85 / $10.75 / $18.43	Professional		$7.85	$10.75	$18.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.07 / $149.07 / $178.88	Professional		$149.07	$149.07	$178.88
United Facility/Professional Professional Modifier Low / Median / High Price $50.90 / $50.90 / $50.90	Professional		$50.90	$50.90	$50.90