Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.14 / $15.49	Professional		$8.91	$15.14	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $29.51	Facility		$25.12	$25.12	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $42,657.95	Professional		$22.39	$25.70	$42,657.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $114.82 / $114.82	Professional		$10.96	$114.82	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $44.67	Professional		$30.20	$30.20	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $33.11	Professional		$10.00	$16.98	$33.11