Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.62 / $11.62 / $24.68	Facility		$11.62	$11.62	$24.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.62 / $11.62 / $12.05	Professional		$11.62	$11.62	$12.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.63 / $12.11 / $24.20	Facility		$11.63	$12.11	$24.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.99 / $9.40 / $9.40	Professional		$7.99	$9.40	$9.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $28.83 / $62,999.37	Facility		$19.01	$28.83	$62,999.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $17.79 / $26.42	Professional		$12.34	$17.79	$26.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Facility		$12.34	$12.34	$12.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $17.73 / $17.73	Professional		$12.34	$17.73	$17.73
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 $12.10 / $12.10 / $12.10	Professional		$12.10	$12.10	$12.10