Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $20.18 / $113.65	Facility		$16.07	$20.18	$113.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $20.95 / $25.55	Professional		$20.18	$20.95	$25.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $23.00 / $26.85	Facility		$15.90	$23.00	$26.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $20.25 / $28.34	Professional		$12.35	$20.25	$28.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $35.77 / $42.16	Facility		$25.55	$35.77	$42.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.34 / $33.22 / $51.10	Professional		$27.34	$33.22	$51.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.61 / $19.88 / $45.35	Facility		$16.61	$19.88	$45.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $29.32 / $161.60	Professional		$12.71	$29.32	$161.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $14.05 / $14.05	Professional		$14.05	$14.05	$14.05
United Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $20.96 / $34.94	Professional		$10.73	$20.96	$34.94