Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $42.66 / $75.86	Facility		$25.12	$42.66	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $30.90	Professional		$19.95	$25.12	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $31.62 / $33.11	Facility		$28.18	$31.62	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $478.63 / $46,773.51	Facility		$31.62	$478.63	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $575.44	Professional		$33.88	$42.66	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $50.12 / $50.12	Facility		$20.42	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $151.36 / $151.36	Professional		$44.67	$151.36	$151.36
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 $13.18 / $18.62 / $31.62	Professional		$13.18	$18.62	$31.62