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 $6.91 / $6.91 / $6.91	Facility		$6.91	$6.91	$6.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.87 / $6.91 / $6.91	Professional		$5.87	$6.91	$6.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $28.50 / $41,999.58	Facility		$17.27	$28.50	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.18 / $317.88	Professional		$19.00	$24.18	$317.88
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 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $19.00	Professional		$7.25	$10.36	$19.00