Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.50 / $19.04 / $22.71	Facility		$13.50	$19.04	$22.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $22.61 / $28.21	Professional		$13.50	$22.61	$28.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.75 / $26.20 / $31.27	Professional		$19.75	$26.20	$31.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.92 / $432.74 / $41,999.58	Facility		$29.92	$432.74	$41,999.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.89 / $381.45 / $677.97	Professional		$24.89	$381.45	$677.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $29.08 / $29.08	Facility		$29.08	$29.08	$29.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.26 / $112.26 / $112.26	Professional		$112.26	$112.26	$112.26
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 $599.00 / $4,298.00 / $30,001.00	Facility		$599.00	$4,298.00	$30,001.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.41 / $28.32 / $43.60	Professional		$22.41	$28.32	$43.60