Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.70 / $7.70 / $18.55	Facility		$7.70	$7.70	$18.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.70 / $11.87 / $16.53	Professional		$7.70	$11.87	$16.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.74 / $8.50	Facility		$5.16	$5.74	$8.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.00 / $9.02	Professional		$4.00	$5.00	$9.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.91 / $21.14 / $60,749.39	Facility		$16.91	$21.14	$60,749.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $20.12 / $25.76	Professional		$16.91	$20.12	$25.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.25 / $21.25 / $21.25	Facility		$21.25	$21.25	$21.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $54.94 / $114.34	Professional		$10.44	$54.94	$114.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $100.00	Professional		$45.00	$45.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $21.23 / $27.21	Professional		$17.20	$21.23	$27.21