Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $26.56 / $145.12	Facility		$25.77	$26.56	$145.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $26.10 / $35.03	Professional		$17.29	$26.10	$35.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $29.36 / $34.28	Facility		$20.30	$29.36	$34.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $16.11 / $32.32	Professional		$15.43	$16.11	$32.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.61 / $45.67 / $53.82	Facility		$32.61	$45.67	$53.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $42.41 / $65.23	Professional		$34.90	$42.41	$65.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $24.89 / $50.00	Facility		$21.20	$24.89	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $37.58 / $209.32	Professional		$16.51	$37.58	$209.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.94 / $17.94 / $17.94	Professional		$17.94	$17.94	$17.94
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $27.34 / $42.32	Professional		$13.70	$27.34	$42.32