Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.75 / $25.69 / $139.33	Facility		$24.75	$25.69	$139.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $25.69 / $31.33	Professional		$24.75	$25.69	$31.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $28.20 / $32.93	Facility		$19.50	$28.20	$32.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.87 / $6.54 / $6.54	Professional		$2.87	$6.54	$6.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.33 / $50.13 / $41,999.58	Facility		$31.33	$50.13	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.46 / $43.86 / $582.04	Professional		$34.46	$43.86	$582.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.36 / $23.90 / $37.60	Facility		$20.36	$23.90	$37.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $44.91 / $151.01	Professional		$35.24	$44.91	$151.01
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 $13.16 / $18.80 / $31.33	Professional		$13.16	$18.80	$31.33