Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $28.63 / $159.18	Facility		$7.52	$28.63	$159.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $28.63 / $34.56	Professional		$17.47	$28.63	$34.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.88 / $11.88 / $11.88	Facility		$11.88	$11.88	$11.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $15.60 / $19.50	Professional		$15.60	$15.60	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.06 / $35.35 / $41.71	Facility		$31.06	$35.35	$41.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $35.35 / $54.60	Professional		$29.04	$35.35	$54.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.77 / $1.56 / $43.99	Facility		$0.77	$1.56	$43.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $21.84 / $66.51	Professional		$10.55	$21.84	$66.51
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 $11.26 / $17.89 / $25.55	Professional		$11.26	$17.89	$25.55