Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.53 / $13.46 / $35.72	Facility		$9.53	$13.46	$35.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $15.80 / $35.72	Professional		$9.53	$15.80	$35.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.79 / $106.98 / $119.81	Professional		$84.79	$106.98	$119.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $182.99 / $41,999.58	Facility		$19.14	$182.99	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $149.79 / $376.74	Professional		$16.75	$149.79	$376.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $20.88 / $20.88	Facility		$20.88	$20.88	$20.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $79.53 / $79.53	Professional		$9.57	$79.53	$79.53
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 Professional Modifier Low / Median / High Price $32.35 / $39.27 / $55.37	Professional		$32.35	$39.27	$55.37