Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $129.66 / $129.66	Facility		$129.66	$129.66	$129.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $129.66 / $134.52	Professional		$129.66	$129.66	$134.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $162.08 / $162.08	Professional		$154.47	$162.08	$162.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.17 / $350.09 / $55,999.44	Facility		$90.17	$350.09	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $74.06 / $47,249.53	Professional		$64.41	$74.06	$47,249.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.08 / $162.08 / $162.08	Facility		$162.08	$162.08	$162.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $222.05	Professional		$162.08	$162.08	$222.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $210.70	Professional		$162.08	$162.08	$210.70
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $162.08 / $168.56	Professional		$162.08	$162.08	$168.56