Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $36.11 / $95.25	Facility		$4.50	$36.11	$95.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $72.34	Professional		$36.11	$36.11	$72.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $30.00 / $30.00	Professional		$25.50	$30.00	$30.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $127.35 / $178.28 / $178.29	Facility		$127.35	$178.28	$178.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.06 / $146.44 / $196.11	Professional		$132.06	$146.44	$196.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $190.11 / $190.11	Facility		$190.11	$190.11	$190.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $21.70 / $21.70	Professional		$21.70	$21.70	$21.70
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 Facility Modifier Low / Median / High Price $67.43 / $67.43 / $67.43	Facility		$67.43	$67.43	$67.43