Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.57 / $21.57 / $121.43	Facility		$19.57	$21.57	$121.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $21.84 / $25.12	Professional		$19.73	$21.84	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $24.57 / $28.69	Facility		$14.61	$24.57	$28.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $10.92 / $20.03	Professional		$8.61	$10.92	$20.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $38.22 / $45.05	Facility		$27.30	$38.22	$45.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.21 / $35.49 / $54.60	Professional		$29.21	$35.49	$54.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $21.24 / $50.00	Facility		$17.75	$21.24	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $30.71 / $131.59	Professional		$11.53	$30.71	$131.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $15.02 / $15.02	Professional		$15.02	$15.02	$15.02
United Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $27.30	Facility		$27.30	$27.30	$27.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.92 / $14.52 / $28.37	Professional		$10.92	$14.52	$28.37