Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $46.77 / $81.28	Facility		$26.92	$46.77	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $32.36	Professional		$21.88	$26.92	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $35.48	Facility		$30.20	$33.88	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $14.13	Professional		$12.02	$14.13	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $512.86 / $41,686.94	Facility		$39.81	$512.86	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $630.96	Professional		$37.15	$47.86	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $53.70 / $53.70	Facility		$21.88	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
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 $14.13 / $20.42 / $33.88	Professional		$14.13	$20.42	$33.88