Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $44.67	Facility		$15.14	$25.70	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $18.20	Professional		$12.02	$15.14	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $2.09 / $2.09	Facility		$2.09	$2.09	$2.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.78 / $2.09 / $2.19	Professional		$1.78	$2.09	$2.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $338.84 / $46,773.51	Facility		$18.62	$338.84	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $346.74	Professional		$19.95	$25.12	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $29.51 / $29.51	Facility		$12.02	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $89.13 / $89.13	Professional		$21.38	$89.13	$89.13
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 $7.76 / $11.22 / $19.95	Professional		$7.76	$11.22	$19.95