Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.72 / $15.28 / $82.84	Facility		$14.72	$15.28	$82.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.72 / $15.28 / $18.63	Professional		$14.72	$15.28	$18.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $2.11 / $2.11	Facility		$2.11	$2.11	$2.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $2.11 / $2.11	Professional		$1.79	$2.11	$2.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $30.74 / $41,999.58	Facility		$18.63	$30.74	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $26.08 / $347.92	Professional		$20.49	$26.08	$347.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $14.22 / $22.36	Facility		$12.11	$14.22	$22.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $26.85 / $89.80	Professional		$18.63	$26.85	$89.80
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 $18.63 / $18.63 / $18.63	Facility		$18.63	$18.63	$18.63
United Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $11.18 / $20.49	Professional		$7.82	$11.18	$20.49