Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $21.01 / $41.81	Facility		$14.90	$21.01	$41.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.90 / $25.43 / $41.81	Professional		$14.90	$25.43	$41.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.00 / $6.68	Professional		$4.25	$5.00	$6.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.02 / $375.42 / $41,999.58	Facility		$27.02	$375.42	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.02 / $346.97 / $607.95	Professional		$27.02	$346.97	$607.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.07 / $32.07 / $32.07	Facility		$32.07	$32.07	$32.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $157.47 / $157.47	Professional		$32.57	$157.47	$157.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $18.09 / $18.09	Facility		$18.09	$18.09	$18.09
United Facility/Professional Professional Modifier Low / Median / High Price $20.09 / $26.78 / $56.43	Professional		$20.09	$26.78	$56.43