Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $22.23 / $120.60	Facility		$21.42	$22.23	$120.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $22.23 / $27.11	Professional		$21.42	$22.23	$27.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $24.63 / $28.49	Facility		$16.88	$24.63	$28.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $24.63 / $24.63	Professional		$10.84	$24.63	$24.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.11 / $37.95 / $44.73	Facility		$27.11	$37.95	$44.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $35.24 / $54.22	Professional		$29.01	$35.24	$54.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $20.69 / $32.53	Facility		$17.62	$20.69	$32.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $30.49 / $130.66	Professional		$12.38	$30.49	$130.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $14.91 / $14.91	Professional		$14.91	$14.91	$14.91
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $14.78 / $29.82	Professional		$11.39	$14.78	$29.82