Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $13.32 / $76.89	Facility		$5.64	$13.32	$76.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $13.83 / $16.70	Professional		$8.52	$13.83	$16.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.94 / $5.94 / $5.94	Facility		$5.94	$5.94	$5.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.84 / $7.84 / $9.80	Professional		$7.84	$7.84	$9.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.46 / $17.07 / $20.16	Facility		$12.46	$17.07	$20.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $17.07 / $24.40	Professional		$11.61	$17.07	$24.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.37 / $0.75 / $21.25	Facility		$0.37	$0.75	$21.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $9.88 / $34.17	Professional		$4.36	$9.88	$34.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.13 / $37.35 / $3,000.00	Professional		$31.13	$37.35	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $8.64 / $12.34	Professional		$5.01	$8.64	$12.34