Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $87.10 / $154.88	Facility		$52.48	$87.10	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $51.29 / $64.57	Professional		$42.66	$51.29	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $7.41	Professional		$5.89	$6.92	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $1,148.15 / $46,773.51	Facility		$64.57	$1,148.15	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $1,174.90	Professional		$69.18	$87.10	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $102.33 / $102.33	Facility		$41.69	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $309.03 / $309.03	Professional		$74.13	$309.03	$309.03
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 $26.92 / $38.90 / $64.57	Professional		$26.92	$38.90	$64.57