Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $88.27 / $282.05	Facility		$10.81	$88.27	$282.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $12.30 / $13.68	Professional		$11.22	$12.30	$13.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.52 / $12.31 / $14.38	Facility		$8.52	$12.31	$14.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.75 / $12.38	Professional		$6.46	$6.75	$12.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $16.42 / $19.14	Facility		$13.68	$16.42	$19.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $16.55 / $27.36	Professional		$13.68	$16.55	$27.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.89 / $10.44 / $24.78	Facility		$8.89	$10.44	$24.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $10.37 / $88.13	Professional		$6.93	$10.37	$88.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $7.52 / $7.52	Professional		$7.52	$7.52	$7.52
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $11.45 / $17.89	Professional		$5.47	$11.45	$17.89