Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $50.35 / $50.35	Facility		$50.35	$50.35	$50.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.38 / $71.06 / $96.31	Professional		$45.38	$71.06	$96.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $30.00 / $54.14	Professional		$22.50	$30.00	$54.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.32 / $102.90 / $61,249.39	Facility		$63.32	$102.90	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.15 / $79.15 / $111.60	Professional		$79.15	$79.15	$111.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.97 / $115.97 / $115.97	Facility		$115.97	$115.97	$115.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $76.70 / $127.63	Professional		$76.70	$76.70	$127.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $115.00	Professional		$45.00	$45.00	$115.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.36 / $92.20 / $168.96	Professional		$77.36	$92.20	$168.96