Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $22.23 / $120.60	Facility		$21.42	$22.23	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $22.23 / $27.11	Professional		$21.42	$22.23	$27.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $24.40 / $28.49	Facility		$16.88	$24.40	$28.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.32 / $45.77 / $45.77	Professional		$34.32	$45.77	$45.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $44.73 / $41,999.58	Facility		$27.11	$44.73	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.82 / $37.95 / $504.00	Professional		$29.82	$37.95	$504.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $20.69 / $32.53	Facility		$17.62	$20.69	$32.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $39.24 / $130.66	Professional		$30.49	$39.24	$130.66
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 Facility Modifier Low / Median / High Price $27.11 / $27.11 / $32.53	Facility		$27.11	$27.11	$32.53
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $27.11	Professional		$11.39	$16.27	$27.11