Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $27.77 / $150.62	Facility		$26.75	$27.77	$150.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $27.09 / $33.86	Professional		$23.70	$27.09	$33.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.08 / $30.47 / $35.59	Facility		$21.08	$30.47	$35.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $14.06 / $14.06	Professional		$10.58	$14.06	$14.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $444.42 / $1,072.45	Facility		$40.63	$444.42	$1,072.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $47.40 / $630.05	Professional		$38.94	$47.40	$630.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $26.35 / $44.68	Facility		$22.01	$26.35	$44.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $163.21 / $163.21	Professional		$39.63	$163.21	$163.21
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 $14.22 / $20.32 / $33.86	Professional		$14.22	$20.32	$33.86