Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.64 / $14.16 / $76.84	Facility		$13.64	$14.16	$76.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $14.16 / $17.27	Professional		$13.64	$14.16	$17.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $5.92 / $5.92	Facility		$5.92	$5.92	$5.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $5.92 / $5.92	Professional		$5.03	$5.92	$5.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.03 / $17.27 / $225.45	Facility		$15.03	$17.27	$225.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $18.79 / $236.72	Professional		$15.03	$18.79	$236.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.23 / $13.18 / $20.72	Facility		$11.23	$13.18	$20.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $24.78 / $83.24	Professional		$19.43	$24.78	$83.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $1,500.00	Professional		$100.00	$100.00	$1,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $19.00	Professional		$7.25	$10.36	$19.00