Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.88 / $38.02	Facility		$12.88	$21.88	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $15.85	Professional		$10.00	$12.02	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.85 / $16.98	Facility		$14.45	$15.85	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $5.89	Professional		$5.01	$5.89	$5.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $239.88 / $46,773.51	Facility		$15.85	$239.88	$46,773.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $295.12	Professional		$16.98	$21.38	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $25.70 / $25.70	Facility		$10.47	$25.70	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $77.62 / $77.62	Professional		$22.91	$77.62	$77.62
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 $6.76 / $9.55 / $15.85	Professional		$6.76	$9.55	$15.85