Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $21.88	Professional		$12.59	$14.79	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10.47 / $13.80	Facility		$8.51	$10.47	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.33 / $12.02	Professional		$8.32	$9.33	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $30.20 / $1,995.26	Professional		$6.03	$30.20	$1,995.26