Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.53 / $1,936.78	Facility		$30.23	$30.53	$1,936.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.53	Professional		$30.23	$30.23	$30.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $35.65 / $35.65	Facility		$34.22	$35.65	$35.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $30.62	Professional		$30.23	$30.23	$30.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $42.32 / $48.37	Facility		$30.23	$42.32	$48.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $33.25 / $46.55	Professional		$30.23	$33.25	$46.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $85.00 / $85.00	Facility		$30.23	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $47.54	Professional		$30.23	$30.23	$47.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.27 / $30.36 / $39.47	Professional		$22.27	$30.36	$39.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $32.38	Professional		$30.23	$30.23	$32.38