Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $47.86 / $85.11	Facility		$28.18	$47.86	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $33.88	Professional		$22.91	$28.18	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $35.48 / $37.15	Facility		$28.84	$35.48	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.05 / $19.05	Professional		$16.22	$19.05	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $512.86 / $41,686.94	Facility		$41.69	$512.86	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $645.65	Professional		$38.90	$48.98	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $56.23 / $56.23	Facility		$22.91	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Professional		$169.82	$169.82	$169.82
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 $14.79 / $20.89 / $35.48	Professional		$14.79	$20.89	$35.48