Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $54.46 / $123.85	Facility		$51.31	$54.46	$123.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $20.52 / $20.52	Facility		$20.52	$20.52	$20.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $20.52 / $20.52	Professional		$17.44	$20.52	$20.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $71.83 / $97.49	Facility		$51.31	$71.83	$97.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $66.70 / $86.20	Professional		$51.31	$66.70	$86.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.35 / $39.15 / $67.70	Facility		$33.35	$39.15	$67.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $56.44 / $247.31	Professional		$51.31	$56.44	$247.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $56.44	Professional		$21.55	$30.79	$56.44