Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $165.96	Facility		$15.85	$26.92	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $19.05	Professional		$14.13	$16.98	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.50 / $20.42	Facility		$16.60	$19.50	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $20.42	Professional		$9.77	$9.77	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $23.44 / $27.54	Facility		$19.50	$23.44	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $38.90	Professional		$19.50	$24.55	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $35.48 / $35.48	Facility		$12.88	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $95.50 / $95.50	Professional		$11.75	$95.50	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $27.54	Professional		$8.32	$16.60	$27.54