Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $16.79 / $40.44	Facility		$16.79	$16.79	$40.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.89 / $31.02 / $44.15	Professional		$21.89	$31.02	$44.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.14 / $37.97 / $53.75	Professional		$28.14	$37.97	$53.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.53 / $357.41 / $47,249.53	Facility		$24.53	$357.41	$47,249.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $314.97 / $555.83	Professional		$24.53	$314.97	$555.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Professional		$112.26	$112.26	$112.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $44.97 / $65.13 / $123.38	Professional		$44.97	$65.13	$123.38