Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $34.67 / $60.26	Facility		$19.95	$34.67	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $23.99	Professional		$15.85	$19.95	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.12 / $26.30	Facility		$22.39	$25.12	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $52.48	Professional		$44.67	$52.48	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $363.08 / $45,708.82	Facility		$27.54	$363.08	$45,708.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $35.48 / $467.74	Professional		$26.92	$35.48	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $39.81 / $39.81	Facility		$16.22	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
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 $10.47 / $16.60 / $27.54	Professional		$10.47	$16.60	$27.54