Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $22.80 / $126.77	Facility		$21.97	$22.80	$126.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.38 / $22.80 / $27.57	Professional		$18.38	$22.80	$27.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $14.76 / $14.76	Facility		$14.76	$14.76	$14.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.82 / $19.39 / $24.20	Professional		$13.82	$19.39	$24.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.77 / $28.20 / $33.28	Facility		$24.77	$28.20	$33.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.16 / $28.20 / $45.32	Professional		$23.16	$28.20	$45.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.61 / $1.24 / $35.04	Facility		$0.61	$1.24	$35.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $17.47 / $53.45	Professional		$9.15	$17.47	$53.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $14.25 / $20.35	Professional		$8.93	$14.25	$20.35