Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.82 / $20.58 / $111.65	Facility		$19.82	$20.58	$111.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.82 / $20.58 / $25.07	Professional		$19.82	$20.58	$25.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $22.59 / $26.38	Facility		$15.62	$22.59	$26.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.79 / $52.35 / $52.84	Professional		$28.79	$52.35	$52.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $263.55 / $41,999.58	Facility		$30.87	$263.55	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $40.15 / $464.73	Professional		$28.87	$40.15	$464.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $19.53 / $33.13	Facility		$16.32	$19.53	$33.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $120.98 / $120.98	Professional		$17.57	$120.98	$120.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.63 / $100.00 / $100.00	Professional		$32.63	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $16.71 / $25.10	Professional		$10.54	$16.71	$25.10