Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $48.98	Facility		$15.14	$25.70	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $23.99	Professional		$12.88	$16.22	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $15.85	Professional		$10.00	$12.88	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $20.42	Facility		$17.38	$17.38	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.44 / $26.30 / $26.30	Facility		$0.44	$26.30	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $20.42 / $79.43	Professional		$6.46	$20.42	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $3,019.95	Professional		$44.67	$44.67	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $14.45	Professional		$7.24	$10.23	$14.45