Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $29.51 / $63.10	Facility		$28.84	$29.51	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $38.90	Professional		$28.84	$30.20	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $38.02 / $38.02	Facility		$0.03	$38.02	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $11.75 / $17.78	Facility		$10.96	$11.75	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $17.78	Professional		$10.96	$12.30	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $85.11 / $85.11	Facility		$31.62	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $56.23	Professional		$31.62	$31.62	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $33.88	Professional		$30.90	$32.36	$33.88