Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $22.05 / $22.05	Facility		$22.05	$22.05	$22.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.38 / $10.77 / $11.02	Professional		$10.38	$10.77	$11.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $10.25 / $10.25	Facility		$10.25	$10.25	$10.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.81 / $10.81	Professional		$8.19	$10.81	$10.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $43,499.57 / $55,999.44	Facility		$15.50	$43,499.57	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43,499.57 / $48,999.51 / $50,749.49	Professional		$43,499.57	$48,999.51	$50,749.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $85.00 / $85.00	Facility		$8.19	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $9.67	Professional		$8.19	$8.19	$9.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $3,000.00	Professional		$45.00	$45.00	$3,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $12.97 / $12.97	Professional		$11.67	$12.97	$12.97