Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.38 / $6.63 / $35.92	Facility		$6.38	$6.63	$35.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.38 / $6.63 / $8.08	Professional		$6.38	$6.63	$8.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.28 / $13.28 / $13.28	Facility		$13.28	$13.28	$13.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $13.28 / $13.28	Professional		$9.50	$13.28	$13.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.08 / $13.33 / $41,999.58	Facility		$8.08	$13.33	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.89 / $11.31 / $149.94	Professional		$8.89	$11.31	$149.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.16 / $9.69	Facility		$5.25	$6.16	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.09 / $11.87 / $38.95	Professional		$9.09	$11.87	$38.95
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 $3.39 / $4.84 / $8.89	Professional		$3.39	$4.84	$8.89