Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $76.17 / $170.19	Facility		$13.52	$76.17	$170.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $14.88 / $15.48	Professional		$11.13	$14.88	$15.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $15.41 / $17.98	Facility		$10.66	$15.41	$17.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.46 / $16.97	Professional		$8.11	$8.46	$16.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $23.97 / $28.25	Facility		$17.12	$23.97	$28.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $22.26 / $34.24	Professional		$18.32	$22.26	$34.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.13 / $13.32 / $31.07	Facility		$11.13	$13.32	$31.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $19.82 / $108.34	Professional		$8.75	$19.82	$108.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $9.42 / $9.42	Professional		$9.42	$9.42	$9.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $14.36 / $27.43	Professional		$6.30	$14.36	$27.43