Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $27.01 / $152.07	Facility		$10.36	$27.01	$152.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $28.04 / $34.19	Professional		$27.01	$28.04	$34.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.34 / $30.77 / $35.93	Facility		$7.34	$30.77	$35.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $7.34 / $7.34	Professional		$5.20	$7.34	$7.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.19 / $56.41 / $41,999.58	Facility		$34.19	$56.41	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $47.87 / $635.98	Professional		$37.61	$47.87	$635.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $26.09 / $68.25	Facility		$22.22	$26.09	$68.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.46 / $49.04 / $164.80	Professional		$38.46	$49.04	$164.80
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 Facility Modifier Low / Median / High Price $34.19 / $34.19 / $41.03	Facility		$34.19	$34.19	$41.03
United Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $21.04 / $37.61	Professional		$14.36	$21.04	$37.61