Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $17.19 / $4,757.42	Facility		$10.54	$17.19	$4,757.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $18.96	Professional		$10.54	$10.65	$18.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.94 / $12.44 / $21.08	Facility		$11.94	$12.44	$21.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $12.36	Professional		$10.54	$10.54	$12.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $12.12 / $16.97	Facility		$10.54	$12.12	$16.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.07 / $15.75	Professional		$10.54	$11.07	$15.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $85.00 / $85.00	Facility		$10.54	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $16.52	Professional		$10.54	$10.54	$16.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.06 / $16.98	Professional		$10.96	$13.06	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $12.12	Professional		$10.54	$11.17	$12.12