Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $57.90 / $123.05	Facility		$57.90	$57.90	$123.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.90 / $57.90 / $61.52	Professional		$57.90	$57.90	$61.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.69 / $119.39 / $119.39	Facility		$91.69	$119.39	$119.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $101.24 / $101.24	Professional		$75.93	$101.24	$101.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.51 / $53.36 / $77.62	Facility		$48.51	$53.36	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $53.36 / $72.63	Professional		$41.23	$53.36	$72.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.52 / $85.00 / $85.00	Facility		$61.52	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.52 / $61.52 / $101.24	Professional		$61.52	$61.52	$101.24
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 $60.32 / $60.32 / $68.54	Professional		$60.32	$60.32	$68.54