Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $21.00 / $118.21	Facility		$3.98	$21.00	$118.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.80 / $26.58	Professional		$21.00	$21.80	$26.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $23.92 / $27.94	Facility		$16.55	$23.92	$27.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $18.23 / $25.53	Professional		$13.12	$18.23	$25.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.58 / $37.21 / $43.86	Facility		$26.58	$37.21	$43.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $34.54 / $53.16	Professional		$28.44	$34.54	$53.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $20.68 / $50.00	Facility		$17.28	$20.68	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $29.90 / $172.61	Professional		$13.54	$29.90	$172.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $14.62 / $14.62	Professional		$14.62	$14.62	$14.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $18.36 / $31.90	Professional		$10.63	$18.36	$31.90