Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $16.03 / $34.07	Facility		$16.03	$16.03	$34.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $16.03 / $16.63	Professional		$16.03	$16.03	$16.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $20.04 / $20.04	Facility		$19.23	$20.04	$20.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $17.84 / $17.84	Professional		$13.38	$17.84	$17.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41,999.58 / $55,999.44 / $69,999.30	Facility		$41,999.58	$55,999.44	$69,999.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $64.00	Facility		$16.98	$16.98	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $18.04 / $23.07	Professional		$16.98	$18.04	$23.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Professional		$45.00	$45.00	$45.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $20.04	Professional		$20.04	$20.04	$20.04