Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $45.02	Facility		$21.18	$21.18	$45.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $23.39	Professional		$21.18	$21.18	$23.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $27.59 / $44.14	Facility		$26.04	$27.59	$44.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $23.39 / $23.39	Professional		$21.18	$23.39	$23.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.97 / $50.52 / $55,999.44	Facility		$32.97	$50.52	$55,999.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $34.47 / $48,999.51	Professional		$23.31	$34.47	$48,999.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $22.51 / $22.51	Facility		$22.51	$22.51	$22.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.51 / $22.51 / $26.48	Professional		$22.51	$22.51	$26.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.39 / $23.39 / $30.41	Professional		$23.39	$23.39	$30.41
United Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $23.39 / $24.57	Professional		$22.07	$23.39	$24.57