Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $23.60 / $136.22	Facility		$5.01	$23.60	$136.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $24.50 / $29.58	Professional		$15.13	$24.50	$29.58
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 $22.03 / $30.18 / $35.61	Facility		$22.03	$30.18	$35.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $29.11 / $43.12	Professional		$23.97	$29.11	$43.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.66 / $1.34 / $37.65	Facility		$0.66	$1.34	$37.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.32 / $18.76 / $57.01	Professional		$9.32	$18.76	$57.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.00 / $3,000.00	Professional		$50.00	$60.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $15.31 / $22.09	Professional		$10.42	$15.31	$22.09