Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $37.15 / $64.57	Facility		$21.88	$37.15	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $26.92	Professional		$18.20	$20.89	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $26.92 / $28.18	Facility		$24.55	$26.92	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $45.71	Professional		$34.67	$45.71	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $489.78 / $46,773.51	Facility		$26.92	$489.78	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $501.19	Professional		$28.84	$36.31	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $43.65 / $43.65	Facility		$17.78	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $131.83 / $131.83	Professional		$38.90	$131.83	$131.83
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 $11.48 / $16.22 / $26.92	Professional		$11.48	$16.22	$26.92