Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $19.95	Facility		$15.85	$15.85	$19.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $31.62	Professional		$15.85	$19.95	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $17.78	Professional		$10.72	$10.72	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.18 / $38.02	Facility		$20.42	$28.18	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.18 / $40.74	Professional		$22.39	$28.18	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.60 / $125.89	Professional		$10.47	$16.60	$125.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $43.65	Professional		$20.89	$26.92	$43.65