Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $41.69	Facility		$14.13	$23.44	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $16.98	Professional		$10.96	$14.13	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Facility		$6.92	$6.92	$6.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $7.41	Professional		$6.92	$6.92	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $309.03 / $46,773.51	Facility		$17.38	$309.03	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $316.23	Professional		$18.62	$23.44	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $27.54 / $27.54	Facility		$11.22	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $83.18 / $83.18	Professional		$24.55	$83.18	$83.18
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 $7.24 / $10.47 / $17.38	Professional		$7.24	$10.47	$17.38