Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $3.98 / $3.98	Facility		$3.98	$3.98	$3.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $22.91 / $36.31	Professional		$3.98	$22.91	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $79.43 / $104.71	Professional		$36.31	$79.43	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $20.42 / $45,708.82	Facility		$6.46	$20.42	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $20.42 / $117.49	Professional		$6.76	$20.42	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $28.84	Professional		$19.95	$25.12	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $100.00	Professional		$44.67	$44.67	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $6.76 / $23.99	Professional		$4.68	$6.76	$23.99