Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.13 / $32.53 / $130.22	Facility		$23.13	$32.53	$130.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.42 / $25.51 / $26.55	Professional		$23.42	$25.51	$26.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $26.35 / $30.77	Facility		$13.01	$26.35	$30.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $26.02 / $26.02	Professional		$13.01	$26.02	$26.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $35.14 / $41.30	Facility		$29.28	$35.14	$41.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.28 / $35.58 / $58.56	Professional		$29.28	$35.58	$58.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $22.34 / $53.01	Facility		$19.03	$22.34	$53.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.86 / $33.86 / $141.13	Professional		$14.86	$33.86	$141.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Professional		$16.10	$16.10	$16.10
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.52 / $32.53	Professional		$12.30	$19.52	$32.53