Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $156.26 / $543.27	Facility		$40.65	$156.26	$543.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $308.00	Professional		$40.65	$41.06	$308.00
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 $37.45 / $40.65 / $41.20	Professional		$37.45	$40.65	$41.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $44.72 / $65.04	Facility		$40.65	$44.72	$65.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.68 / $62.60	Professional		$40.65	$42.68	$62.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $163.92 / $163.92	Facility		$40.65	$163.92	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $97.44	Professional		$40.65	$40.65	$97.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.88 / $42.84 / $54.44	Professional		$41.88	$42.84	$54.44
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $43.54	Professional		$40.65	$40.65	$43.54