Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.37 / $148.41 / $479.60	Facility		$21.37	$148.41	$479.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $21.38 / $25.45	Professional		$20.32	$21.38	$25.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.34 / $23.46 / $27.40	Facility		$13.34	$23.46	$27.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $19.13	Professional		$10.43	$10.43	$19.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $31.28 / $36.77	Facility		$26.07	$31.28	$36.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $31.55 / $52.14	Professional		$26.07	$31.55	$52.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $20.29 / $50.00	Facility		$16.95	$20.29	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $29.32 / $125.66	Professional		$11.89	$29.32	$125.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.34 / $14.34	Professional		$14.34	$14.34	$14.34
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $13.76 / $28.68	Professional		$10.95	$13.76	$28.68