Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $46.77 / $81.28	Facility		$28.18	$46.77	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $33.11	Professional		$21.88	$26.92	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $36.31	Facility		$28.18	$33.88	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.41 / $8.32	Professional		$6.17	$7.41	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $616.60 / $46,773.51	Facility		$33.88	$616.60	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $630.96	Professional		$36.31	$45.71	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $67.61 / $67.61	Facility		$22.39	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $165.96 / $165.96	Professional		$38.90	$165.96	$165.96
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 $14.45 / $20.89 / $34.67	Professional		$14.45	$20.89	$34.67