Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $63.99 / $113.31	Facility		$12.60	$63.99	$113.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.20 / $5,038.00	Professional		$18.84	$22.20	$5,038.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.86 / $22.93 / $26.78	Facility		$15.86	$22.93	$26.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.58 / $25.25	Professional		$12.05	$12.58	$25.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $35.67 / $42.04	Facility		$25.48	$35.67	$42.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $33.11 / $50.96	Professional		$27.26	$33.11	$50.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $19.82 / $46.20	Facility		$16.55	$19.82	$46.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $29.32 / $163.44	Professional		$12.88	$29.32	$163.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $14.01 / $14.01	Professional		$14.01	$14.01	$14.01
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $20.80 / $35.60	Professional		$10.70	$20.80	$35.60