Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.59 / $21.24 / $119.60	Facility		$16.59	$21.24	$119.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $22.05 / $26.89	Professional		$21.24	$22.05	$26.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $24.20 / $28.26	Facility		$14.61	$24.20	$28.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $14.32 / $20.65	Professional		$10.74	$14.32	$20.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.89 / $37.65 / $44.37	Facility		$26.89	$37.65	$44.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $34.96 / $53.78	Professional		$28.77	$34.96	$53.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $20.92 / $50.00	Facility		$17.48	$20.92	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $30.25 / $129.61	Professional		$11.53	$30.25	$129.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $14.41 / $29.58	Professional		$11.29	$14.41	$29.58