Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.74 / $15.30 / $83.01	Facility		$14.74	$15.30	$83.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $15.30 / $18.66	Professional		$14.74	$15.30	$18.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.65 / $7.65 / $7.65	Facility		$7.65	$7.65	$7.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.65 / $7.65	Professional		$6.50	$7.65	$7.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.66 / $30.79 / $41,999.58	Facility		$18.66	$30.79	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $26.12 / $347.92	Professional		$20.53	$26.12	$347.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $14.24 / $22.39	Facility		$12.13	$14.24	$22.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $26.85 / $89.94	Professional		$20.99	$26.85	$89.94
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 $7.84 / $11.20 / $18.66	Professional		$7.84	$11.20	$18.66