Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.05 / $67.67 / $153.05	Facility		$14.05	$67.67	$153.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $14.81 / $21.67	Professional		$11.74	$14.81	$21.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $16.25 / $18.98	Facility		$11.24	$16.25	$18.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $17.89	Professional		$8.92	$8.92	$17.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $21.67 / $25.42	Facility		$18.05	$21.67	$25.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $21.86 / $36.11	Professional		$18.05	$21.86	$36.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $14.05 / $32.74	Facility		$11.74	$14.05	$32.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $20.65 / $115.68	Professional		$9.25	$20.65	$115.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $9.93	Professional		$9.93	$9.93	$9.93
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $14.75 / $25.23	Professional		$7.59	$14.75	$25.23