Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $40.74 / $70.79	Facility		$23.99	$40.74	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.91 / $28.18	Professional		$19.05	$22.91	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $29.51 / $30.90	Facility		$26.92	$29.51	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $436.52 / $41,686.94	Facility		$35.48	$436.52	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $549.54	Professional		$32.36	$41.69	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $47.86 / $47.86	Facility		$19.05	$47.86	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $33.11	Professional		$12.88	$19.95	$33.11