Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.18 / $48.98	Facility		$15.85	$28.18	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.85 / $19.95	Professional		$15.14	$15.85	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $20.42 / $21.38	Facility		$16.98	$20.42	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $23.99	Professional		$10.23	$14.45	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $24.55 / $28.84	Facility		$20.42	$24.55	$28.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $40.74	Professional		$20.42	$25.70	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $37.15 / $37.15	Facility		$13.49	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $138.04 / $138.04	Professional		$12.30	$138.04	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Professional		$11.22	$11.22	$11.22
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.45 / $28.84	Professional		$8.71	$14.45	$28.84