Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.43 / $14.27 / $80.34	Facility		$5.43	$14.27	$80.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.27 / $14.81 / $24.30	Professional		$14.27	$14.81	$24.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $17.68 / $18.98	Facility		$11.24	$17.68	$18.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $17.28 / $23.58	Professional		$8.92	$17.28	$23.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $25.28 / $29.80	Facility		$18.05	$25.28	$29.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $23.48 / $36.11	Professional		$19.32	$23.48	$36.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $14.05 / $50.00	Facility		$11.74	$14.05	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $20.65 / $134.04	Professional		$9.25	$20.65	$134.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $16.98 / $28.93	Professional		$7.22	$16.98	$28.93