Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $69.11 / $746.27	Facility		$40.65	$69.11	$746.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $103.00	Professional		$40.65	$40.65	$103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.02 / $47.94 / $47.97	Facility		$46.02	$47.94	$47.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $40.65 / $41.20	Professional		$36.58	$40.65	$41.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $54.88 / $65.04	Facility		$40.65	$54.88	$65.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $44.72 / $65.04	Professional		$40.65	$44.72	$65.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $85.00 / $85.00	Facility		$40.65	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $83.50	Professional		$40.65	$40.65	$83.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $41.88 / $54.44	Professional		$41.88	$41.88	$54.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $43.54	Professional		$40.65	$40.65	$43.54