Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $27.83	Facility		$13.10	$13.10	$27.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $13.10 / $13.59	Professional		$13.10	$13.10	$13.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.44 / $16.09 / $16.10	Facility		$15.44	$16.09	$16.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.64 / $13.64	Professional		$10.23	$13.64	$13.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $52,149.48 / $69,999.30	Facility		$5.89	$52,149.48	$69,999.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Professional		$13.91	$13.91	$13.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $13.91 / $13.91	Facility		$13.91	$13.91	$13.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $20.79 / $20.79	Professional		$13.91	$20.79	$20.79
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 $13.64 / $13.64 / $13.64	Professional		$13.64	$13.64	$13.64