Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.22 / $12.69 / $68.83	Facility		$12.22	$12.69	$68.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $12.69 / $15.47	Professional		$12.22	$12.69	$15.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.63 / $13.92 / $16.26	Facility		$9.63	$13.92	$16.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $9.81 / $16.05	Professional		$7.00	$9.81	$16.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.47 / $21.66 / $25.53	Facility		$15.47	$21.66	$25.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $20.11 / $30.94	Professional		$16.55	$20.11	$30.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.06 / $12.04 / $25.69	Facility		$10.06	$12.04	$25.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $17.76 / $91.81	Professional		$7.26	$17.76	$91.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $11.57 / $19.80	Professional		$6.50	$11.57	$19.80