Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.34 / $23.68 / $133.33	Facility		$1.34	$23.68	$133.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $23.98 / $28.18	Professional		$3.00	$23.98	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $26.98 / $31.51	Facility		$2.18	$26.98	$31.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $2.16 / $11.99	Professional		$2.16	$2.16	$11.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $41.97 / $49.47	Facility		$29.98	$41.97	$49.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $38.97 / $59.96	Professional		$32.08	$38.97	$59.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $22.88 / $35.97	Facility		$19.48	$22.88	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.72 / $13.70 / $144.50	Professional		$1.72	$13.70	$144.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $16.48 / $16.48	Professional		$16.48	$16.48	$16.48
United Facility/Professional Professional Modifier Low / Median / High Price $3.59 / $4.24 / $29.98	Professional		$3.59	$4.24	$29.98