Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.69 / $26.19 / $90.18	Facility		$6.69	$26.19	$90.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.04 / $18.39	Professional		$15.00	$18.04	$18.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $18.25 / $21.31	Facility		$12.62	$18.25	$21.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $14.74 / $22.98	Professional		$10.02	$14.74	$22.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $28.39 / $33.46	Facility		$20.28	$28.39	$33.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.36 / $40.56	Professional		$21.70	$26.36	$40.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.78 / $36.78	Facility		$13.18	$15.78	$36.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $23.54 / $130.37	Professional		$10.24	$23.54	$130.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $11.15 / $11.15	Professional		$11.15	$11.15	$11.15
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $16.55 / $28.34	Professional		$8.11	$16.55	$28.34