Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $13.12 / $71.17	Facility		$12.64	$13.12	$71.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $13.12 / $16.00	Professional		$12.64	$13.12	$16.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.96 / $14.40 / $16.82	Facility		$9.96	$14.40	$16.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.92 / $5.92	Professional		$5.03	$5.92	$5.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $25.60 / $41,999.58	Facility		$16.00	$25.60	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.60 / $22.40 / $293.99	Professional		$17.60	$22.40	$293.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $12.21 / $19.20	Facility		$10.40	$12.21	$19.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $22.72 / $77.12	Professional		$18.00	$22.72	$77.12
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 $6.72 / $9.60 / $16.80	Professional		$6.72	$9.60	$16.80