Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $75.86	Facility		$25.12	$43.65	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $30.90	Professional		$20.89	$25.12	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $4.37 / $4.37	Facility		$4.37	$4.37	$4.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $4.37 / $4.68	Professional		$4.37	$4.37	$4.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $478.63 / $46,773.51	Facility		$31.62	$478.63	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $588.84	Professional		$33.88	$42.66	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $50.12 / $50.12	Facility		$20.42	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $151.36 / $151.36	Professional		$45.71	$151.36	$151.36
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 $13.18 / $19.05 / $31.62	Professional		$13.18	$19.05	$31.62