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 $15.76 / $17.13 / $17.13	Facility		$15.76	$17.13	$17.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $14.52 / $14.52	Professional		$12.34	$14.52	$14.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $47,999.52 / $62,999.37	Facility		$27.44	$47,999.52	$62,999.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.52 / $14.52 / $64.00	Facility		$14.52	$14.52	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $14.52 / $21.23	Professional		$14.52	$14.52	$21.23
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 $14.52 / $14.52 / $14.52	Professional		$14.52	$14.52	$14.52