Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.96 / $101.47 / $715.52	Facility		$21.96	$101.47	$715.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $24.73 / $27.80	Professional		$23.60	$24.73	$27.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.30 / $25.02 / $29.22	Facility		$17.30	$25.02	$29.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.73 / $27.55	Professional		$13.15	$13.73	$27.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $33.36 / $39.04	Facility		$27.80	$33.36	$39.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $33.64 / $55.60	Professional		$27.80	$33.64	$55.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $21.63 / $50.43	Facility		$18.07	$21.63	$50.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $31.80 / $179.94	Professional		$14.20	$31.80	$179.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $23.31 / $38.85	Professional		$11.68	$23.31	$38.85