Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $24.55 / $43.65	Facility		$14.13	$24.55	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $18.20	Professional		$12.02	$14.13	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $18.20 / $19.05	Facility		$16.22	$18.20	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Professional		$2.09	$2.09	$2.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $275.42 / $46,773.51	Facility		$18.20	$275.42	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $338.84	Professional		$19.50	$24.55	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $28.84 / $28.84	Facility		$11.75	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $87.10 / $87.10	Professional		$25.70	$87.10	$87.10
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 $7.59 / $10.96 / $18.20	Professional		$7.59	$10.96	$18.20