Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $21.27 / $122.77	Facility		$5.01	$21.27	$122.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $22.08 / $26.65	Professional		$13.42	$22.08	$26.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.72 / $9.72 / $9.72	Facility		$9.72	$9.72	$9.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $16.00	Professional		$12.80	$12.80	$16.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.73 / $27.01 / $31.87	Facility		$23.73	$27.01	$31.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $27.01 / $43.40	Professional		$22.18	$27.01	$43.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.20 / $33.92	Facility		$0.59	$1.20	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $17.41 / $51.67	Professional		$9.32	$17.41	$51.67
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 $9.33 / $13.49 / $22.96	Professional		$9.33	$13.49	$22.96