Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.71	Professional		$39.31	$39.31	$39.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.51 / $46.36 / $46.36	Facility		$44.51	$46.36	$46.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Professional		$39.31	$39.31	$39.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $55.03 / $62.90	Facility		$39.31	$55.03	$62.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $43.24 / $62.90	Professional		$39.31	$43.24	$62.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $969.00 / $969.00	Facility		$39.31	$969.00	$969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $81.11	Professional		$39.31	$39.31	$81.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $444.74 / $578.16	Professional		$40.88	$444.74	$578.16
United Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $42.10	Professional		$39.31	$39.31	$42.10