Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.39 / $22.52 / $126.77	Facility		$10.39	$22.52	$126.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $23.37 / $28.50	Professional		$22.52	$23.37	$28.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $25.65 / $29.95	Facility		$17.73	$25.65	$29.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.99 / $21.84 / $29.80	Professional		$12.99	$21.84	$29.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $39.90 / $47.03	Facility		$28.50	$39.90	$47.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $37.04 / $57.00	Professional		$30.50	$37.04	$57.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.53 / $22.18 / $47.69	Facility		$18.53	$22.18	$47.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $32.06 / $170.78	Professional		$13.37	$32.06	$170.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.68 / $15.68	Professional		$15.68	$15.68	$15.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $21.47 / $36.75	Professional		$11.97	$21.47	$36.75