Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $20.73 / $116.70	Facility		$19.02	$20.73	$116.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $21.52 / $26.24	Professional		$20.73	$21.52	$26.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $23.62 / $27.58	Facility		$16.32	$23.62	$27.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.65 / $19.60 / $26.72	Professional		$11.65	$19.60	$26.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.24 / $36.74 / $43.30	Facility		$26.24	$36.74	$43.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.08 / $34.11 / $52.48	Professional		$28.08	$34.11	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $20.42 / $50.00	Facility		$17.05	$20.42	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $30.15 / $150.59	Professional		$12.05	$30.15	$150.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $14.43 / $14.43	Professional		$14.43	$14.43	$14.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $19.25 / $32.95	Professional		$10.50	$19.25	$32.95